(navigation image)
Home American Libraries | Canadian Libraries | Universal Library | Community Texts | Project Gutenberg | Children's Library | Biodiversity Heritage Library | Additional Collections
Search: Advanced Search
Anonymous User (login or join us)
Upload
See other formats

Full text of "Meeting minutes"

s/s 




San Francisco Public Library 

Government Information Center 
San Francisco Public Library 
100 Larkin Street, 5th Floor 
5an Francisco, C A 94102 



REFERENCE BOOK 



Not to be taken from the Library 



K> / 1 



'5 




City and County of San Francisco 

Meeting Minutes 

Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Alicia Becerrii 
Clerk: Greg Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102^*689 



Thursday, January 28, 1999 



10:00 AM 



City Hall, Room 263 



2 



Members Present: Sue Bierman, Mark Leno. 
Members Absent: Amos Brown. 



DOCUMENTS DEPT. 



MEETING CONVENED 

The meeting convened at 10:10 a.m. 

REGULAR AGENDA 



FEB 4 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 






990026 [Permit Regulation of Hazardous Wastes on Private Property] 

Ordinance repealing the definition of "Hazardous Waste" in Section 1000, and Sections 1002, 1003, 1005, 
1007, 1008, 1009, 1010, 101 1, 1013, and 1015 of Article 20 of the San Francisco Public WorksjCode; and 
amending the San Francisco Health Code by reenacting the repealed provisions as new Article 22X; and 
amending the remaining provisions of Article 20 of the San Francisco Public Works Code to reference new 
Article 22A of the San Francisco Health Code. (Department of Public Health) 

(Repeals Section 1000, and Sections 1002, 1003, 1005, 1007, 1008, 1009, 1010, 1011, 1013, and 1015 of 
Article 20 of Public Works Code; amends the Health Code by reenacting the repealed provisions as new 
Article 22A; amends the remaining provisions of Article 20 of the Public Works Code to reference new Article 
22Aofthe Health Code. 

1/1/99, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 

1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 

Heard in Committee: Speakers: Department Representative: Scott Natamo, Department of Public Health; 
Ted Lakey, Deputy City Attorney. In Support: Jeff Ludlow, Treadwell and Rollo. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE. 

Ordinance repealing the definition of "Hazardous Waste" in Section 1000, and Sections 1002, 1003, 1005, 
1007, 1008, 1009, 1010, 1011, 1013, and 1015 of Article 20 of the San Francisco Public Works Code; and 
amending the San Francisco Health Code by reenacting the repealed provisions as new Article 22A; amending 
the remaining provisions of Article 20 of the San Francisco Public Works Code to reference new Article 22A 
of the San Francisco Health Code; and providing the Department of Public Health with the authority to charge 
fees to defray the cost of implementing this article. (Department of Public Health) 

(Repeals Section 1000, and Sections 1002, 1003, 1005, 1007, 1008, 1009, 1010, 1011, 1013, and 1015 of 
Article 20 of Public Works Code; amends the Health Code by reenacting the repealed provisions as new 
Article 22A; amends the remaining provisions of Article 20 of the Public Works Code to reference new Article 
22A of the Health Code. 

1/28/99 - Recommended as amended by Public Health and Environment Committee (Supervisor Brown 
absent). Referred to Finance and Labor Committee for fiscal consideration. 
REFERRED to the Finance and Labor Committee by the following vote: 

Ayes: 2 - Bierman, Leno 

Absent: 1 - Brown 



City and County of San Francisco 



Printed at 4:39 PM on 1/28/99 



Public Health and E~-'ironmfnt Committee 



Meeting Minutes 



January 28, 1999 



990038 (Grant - Private) 

Resolution authorizing the Department of Public Health, Division of Population Health and Prevention, to 
accept and expend retroactively a grant of $96,658 from the Miriam and Peter Haas Fund, to create an 
integrated model of targeted consultation by establishing an intensive consultant training program which will 
prepare mental health practitioners to provide consultation, staff training, prevention and early intervention 
services and support for constituents of licensed, center-based early childhood programs serving San 
Francisco's low-income families; providing for ratification of action previously taken and waiving indirect 
costs. (Department of Public Health) 

1/8/99, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 

1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 

Heard in Committee. Speakers: Departmental Representative: Albert Eng, Community Mental Health, 
Department of Public Health; Karen Kegg; Budget Analyst. In Support: None. Opposed: None. 
AMENDED. 

Resolution authorizing the Department of Public Health, Division of Population Health and Prevention, to 
accept and expend retroactively a grant of $96,658 from the Miriam and Peter Haas Fund, to create an 
integrated model of targeted consultation by establishing an intensive consultant training program which will 
prepare mental health practitioners to provide consultation, staff training, prevention and early intervention 
services and support for constituents of licensed, center-based early childhood programs serving San 
Francisco's low-income families; and waiving indirect costs. (Department of Public Health) 

RECOMMENDED., by the following vote: 

Ayes: 2 - Bierman, Leno 
Absent: 1 - Brown 

990039 [Grant - Private] 

Resolution authorizing the Department of Public Health, Central Administration, to accept retroactively and 
expend a grant in the amount of $ 1 19,250 from the California HealthCare Foundation for planning an 
innovative long-term care service delivery system for frail elderly and disabled adults in San Francisco and to 
enter into an agreement which does not include patent infringement indemnification and false claims clauses; 
providing for ratification of action previously taken. (Department of Public Health) 

1/8/99, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 

1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 

Heard in Committee. Speakers: Departmental Representative: Tangerine Brigham, Department of Public 
Health. In Support: None: Opposed: None. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Bierman, Leno 

Absent: 1 - Brown 



City and County of San Francisco 



Printed at 4:40 PM on 1/28/99 



3 1223 06447 1445 



Public Health and Environment Committee Meeting Minutes January 28, 1999 

982051 [Ban on Gasoline Additive MTBE] Supervisors Bierman, Yaki, Katz, 

Leno 

Resolution urging Governor-Elect Gray Davis and the State Legislature to urge the Federal Government to act 
with all due speed in immediately banning the use of the gasoline additive Methyl Tertiary Butyl-Ether 
(MBTE). 

12/7/98, REFERRED FOR ADOPTION WITHOUT COMMITTEE REFERENCE AGENDA AT THE NEXT 
BOARD MEETING. 

12/14/98, SEVERED FROM FOR ADOPTION WITHOUT COMMITTEE REFERENCE AGENDA. 
Supervisor Kaufman requested this matter be severed for the purpose of referring it to committee. 

12/14/98, REFERRED to Health, Family, and Environment Committee. Supervisors Katz, Leno requested to 
be added as co-sponsors. 

1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 

Heard in Committee. Speakers: None. 
RECOMMENDED by the following vote: 

Ayes: 2 - Bierman, Leno 

Absent: 1 - Brown 

ADJOURNMENT 

The meeting adjourned at 10:28 a.m. 



City and County of San Francisco 3 Printed at 4:40 PM on 1/28/99 



J0.60 

5 



■th 



CITY AND COUNTY 




Public Library,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



ofsanfrancisEQCUMENTS DEPT. 



BOARD OF SUPERVISORS 



JAN 2 8 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 
BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



January 26, 1999 
TO: ■< Public Health and Environment Committee 

FROM: JBudget Analyst R***~**-^«i-.w -£>r *n«tV.^ -C 
SUBJECT: January 28, 1999 Public Health and Environment Committee Meeting 



Item 1 - File 99-0026 

Department: 

Item: 



Description: 



Department of Public Health 

Ordinance (1) repealing the definition of "hazardous 
waste" in Section 1000, as well as all of Sections 1002, 
1003, 1005, 1007, 1008, 1009, 1010, 1011, 1013 and 1115 
of Article 20 of the San Francisco Public Works Code 
(Public Works Code); (2) amending the San Francisco 
Public Health Code (Health Code) by reenacting the 
above-noted repealed provisions of the Public Works Code 
as Article 22A of the Health Code; (3) amending the 
remaining provisions of Article 20 of the Public Works 
Code to reference new Article 22A of the Health Code; and 
(4) increasing the fees charged by the Department of 
Public Health to defray the related costs of implementing 
the substantive health protection requirements (see 
Comment No. 1). 

Currently, Article 20 of the Public Works Code contains 
the substantive health protection requirements 
concerning hazardous waste on private property in San 
Francisco. 



Memo to Public Health and Environment Committee 

January 28, 1999 Public Health and Environment Committee Meeting 



Under these substantive health protection requirements, 
an applicant for a building permit must conduct a soil 
sampling at the proposed construction site and mitigate 
any hazardous waste found in such soil pursuant to a site 
mitigation plan. 

Mr. William Chan of the City Attorney's Office states that 
although the substantive health protection requirements 
are codified in the Public Works Code, the Environmental 
Health Section of the DPH is currently responsible for 
implementing them. Specifically, the DPH staff reviews 
site history reports, soil analysis reports and site 
mitigation plans, and based on such review, determines 
whether applicants for building permits meet the 
requirements for analyzing the soil for the presence of 
hazardous waste. The Department of Building Inspection 
subsequently issues the requested building permits upon 
instruction by the DPH, according to Mr. Chan. 

Therefore, this proposed ordinance would relocate the 
substantive health protection requirements from Article 
20 of the Public Works Code to a new Article 22A in the 
Health Code. 

Specifically, the proposed ordinance would authorize the 
following actions: 

(1) Repeal the definition of "hazardous waste" in Section 
1000, as well as all of Sections 1002, 1003, 1005, 1007, 
1008, 1009, 1010, 1011, 1013 and 1115 of Article 20 of the 
Public Works Code. 

(2) Reenact the subject, repealed provisions of the Public 
Works Code as Article 22A of the Health Code. 

(3) Amend the remaining provisions of Article 20 of the 
Public Works Code to reference new Article 22A of the 
Health Code. 

(4) Increase the fees charged by the Department of Public 
Health to defray the related costs of implementing the 
substantive health protection requirements. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

January 28, 1999 Public Health and Environment Committee Meeting 

According to Mr. Chan, the purpose of the proposed 
legislation is to promote greater efficiency in the 
administration of the substantive health protection 
requirements, by relocating such substantive health 
protection requirements from the Public Works Code to 
the Health Code. 



Comments: 



Recommendations: 



1. According to Mr. Chan, presently the DPH charges fees 
to applicants for building permits, which are subject to 
the substantive health protection requirements, in order 
to defray the DPH's related costs of implementing the 
substantive health protection requirements. Such 
defrayal fees are collected on a one-time basis by the 
DPH. Mr. Chan advises that Article 22A of the Health 
Code includes a provision which would increase the 
above-noted defrayal fees charged by the DPH. However, 
according to Mr. Chan, as currently written, the title of 
the proposed ordinance does not state that this legislation 
contains a provision which would increase the above- 
noted defrayal fees charged by the DPH. Mr. Chan 
explains that such a statement was inadvertently omitted 
from the title of the proposed ordinance. 

2. The attached memo, provided by Ms. Pamela Hollis of 
the DPH, compares the current fees charged by the DPH 
for defraying its related costs of implementing the 
substantive health protection requirements with the 
proposed, increased fees for such costs. 

3. According to Ms. Hollis, the DPH collected $42,300 in 
current fees in FY 1997-98, as shown in the attached 
memo. Ms. Hollis advises that the proposed, increased 
fees would generate additional revenues to the City of 
$12,300 annually. As a result, the DPH would realize 
total estimated annual fee revenues of $54,600. 

1. Amend the title of the proposed ordinance to state that 
this legislation contains a provision which would increase 
the fees charged by the DPH for defraying the costs of 
implementing the substantive health protection 
requirements. 

2. Approve the proposed ordinance, as amended. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

3 



JRN-25-1999 16=44 



BEHM HftZ LJftSTE 



P. 01 

Attachment 



Fee Comparison for 
Relocation of Substantive Health Protection Requirements in the 

Maher Ordinance 



Present Fees: 

$ 225.- Initial fee (covering 3 hours of work) 
$ 75.- Hourly rate charged thereafter 

Monies generated for fiscal year 1997-1998 

$ 42,300.— 28 projects with average time spent of 15 hours each 



Proposed Fees: 

$ 390.— Initial fee (covering 3 hours of work) 
$ 130.- Hourly rate charged thereafter 

Projected monies to be generated for next fiscal year 

$ 54.600. 92 - 28 projects with 15 hours each. 

Projected increase in revenues generated 
$ 12.300. 22 



Post-It™ brand fax transmittal memo 7671 *«»* 



£aahal&* 



^gWkd WWr 



_a 



m^ 



Co. 



CO. 



xr 



£>Pr4 



Dope 



PTvont # 



35^-3071 



FBI 



3gA-py Q - 



Fmz# 



g53iz^&d 



TOTAL P. 01 



Memo to Public Health and Environment Committee 

July 21, 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-0038 

Department: 

Item: 



Grant Amount: 
Grant Period: 
Source of Funds: 
Project: 
Description: 



Department of Public Health 

Resolution authorizing the Department of Public Health, 
Division of Population Health and Prevention, 
Community Health Services Branch, Mental Health and 
Substantive Abuse Services, to accept and expend 
retroactively grant funds in the amount of $96,658 from 
the Miriam and Peter Haas Fund to create an integrated 
model of targeted consultation by establishing an 
intensive consultant training program for licensed, 
center-based early childhood programs in San Francisco; 
providing for ratification of action previously taken; and 
waiving indirect costs. 

$96,658 

April 1, 1998 through March 31, 1999 (12 months) 

The Miriam and Peter Haas Fund 

Early Childhood Mental Health Services Program 

According to Mr. Philip Tse of the Department of Public 
Health (DPH), the Early Childhood Mental Health 
Services Program is a collaboration of (1) the Jewish 
Family and Children's Services, a non-profit organization; 
(2) the Infant Parent Program at the University of 
California, San Francisco; and (3) the Mental Health and 
Substance Abuse Services of the DPH. 

Approval of the proposed resolution would authorize 
DPH, Mental Health and Substance Abuse Services (see 
Comment No. 1) to accept and expend retroactively grant 
funds in the amount of $96,658 from the Miriam and 
Peter Haas Fund to provide mental health consultation, 
staff training, prevention and early intervention services, 
and support for the constituents of 25 licensed, center- 
based early childhood programs servicing low-income 
families in San Francisco. Attachment I, provided by the 
DPH, contains a list of the 25 licensed, center-based early 
childhood programs. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

July 21, 1999 Public Health and Environment Committee Meeting 

According to Mr. Tse, the proposed grant funds would be 
used to meet the three objectives of the Early Childhood 
Mental Health Services Program as follows: 

(1) Promote the well being and strengthen the 
functionality of early childhood programs and staff. 

(2) Improve the quality of childcare by integrating parent 
involvement and a child-centered development approach 
to positively affect children's emotional lives and social 
abilities. 

(3) Provide integrated, community-based, multi-leveled 
childhood mental health services for children and their 
families. 

Mr. Tse advises that Westside Community Mental Health 
Center and Instituto Familia de la Raza, two existing 
contractors with the DPH, would be awarded the proposed 
grant funds, totaling $96,658, on a sole source basis. Of 
this $96,658, the DPH would grant $45,758 to Westside 
Community Mental Health Center and $50,900 to 
Instituto Familia de la Raza, because regarding early 
childhood mental health services, both organizations have 
(1) historical experience in project coordination with the 
DPH and (2) proven their effectiveness in monitoring and 
delivering services, based on their existing contracts with 
the DPH. 

According to Mr. Tse, as recipients of the proposed grant 
funds, Westside Community Mental Health Center and 
Instituto Familia de la Raza would share responsibility 
for hiring the project staff and for the fiscal monitoring of 
the project. Mr. Tse states that the DPH would be 
responsible for monitoring the program services provided 
under the project. 

Mr. Tse advises that the Jewish Family and Children's 
Services and the Infant Parent Program at the University 
of California, San Francisco would not receive any of the 
proposed grant funds. However, as collaborative partners 
with the DPH in the Early Childhood Mental Health 
Services Program, the Jewish Family and Children's 
Services and the Infant Parent Program at the University 

BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

July 21, 1999 Public Health and Environment Committee Meeting 

of California, San Francisco would also provide mental 
health consultation, staff training, prevention and early 
intervention services, and support for the constituents of 
the 25 licensed, center-based early childhood programs 
servicing low-income families in San Francisco. 
Specifically, the Jewish Family and Children's Services 
would be responsible for hiring additional project staff for 
the program, while the Infant Parent Program at the 
University of California, San Francisco would be 
responsible for training such staff as well as the staff 
hired with the proposed grant funds by Westside 
Community Mental Health Center and Instituto Familia 
de la Raza, according to Mr. Tse. 



Budget: 



Attachment II, provided by DPH, contains the budget 
details for the proposed grant funds in the amount of 
$96,658, including $45,758 for Westside Community 
Mental Health Center and $50,900 for Instituto Familia 
de la Raza. 



Required Match: 
Indirect Costs: 



None. 

The proposed resolution provides for the waiver of 
indirect costs because, according to Mr. Tse, the Miriam 
and Peter Haas Fund does not allow such costs. 



Comments: 



1. The proposed resolution incorrectly names the DPH's 
Mental Health and Substance Abuse Services as the 
recipient of the proposed grant funds. However, according 
to Mr. Tse, the actual recipient is the DPH's Community 
Mental Health Services. As such, the proposed resolution 
should be amended to substitute reference to the DPH's 
Mental Health and Substance Abuse Services with the 
DPH's Community Mental Health Services. 

2. Attachment III is a summary of the grant application 
information, as prepared by DPH, for the proposed grant 
funds. 

3. As noted above, the proposed resolution provides for 
retroactive acceptance and expenditure of the subject 
grant funds. However, according to Mr. Tse, the DPH has 
neither accepted nor expended these funds to date. As 
such, the proposed resolution should be amended to delete 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

July 21, 1999 Public Health and Environment Committee Meeting 

reference to "retroactively" with respect to acceptance and 
expenditure of the subject grant funds. 

4. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

Recommendations: 1. In accordance with Comment No. 1 above, amend the 

proposed resolution to substitute reference to the DPH's 
Mental Health and Substance Abuse Services with the 
DPH's Community Mental Health Services as the 
recipient of the proposed grant funds. 

2. In accordance with Comment No. 3 above, amend the 
proposed resolution to delete reference to "retroactively" 
with respect to acceptance and expenditure of the subject 
grant funds. 

3. Approve the proposed resolution as amended. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



8 



Attachment I 
Page 1 of 2 




8 

■ MM 

2 






a 



1h 

© CO 
J? >-« -p 



cX 



s 



J 



2 

u 



< 

V 



I 

_ 

S 



.a 

5 



•5 



3 4 



i I 
1 * 

S3 e- 



«i «. © 

©> «■ F 



T T T T 
— o © r- 



E 
2 



— o 



& 

TJ 

=3 



3? 



3 

9 



3 ? 
1 3 



3 
2 



z s 

1 i 5 



5 5 



T 

© — 



*» r» •% 



s & 






s s 
S § 



— o 



< 



S 



I 



J | s I 

5 s i a 






2 = 

1 



£ | J, 



~ U 









5 3 



4 A 



< 



■a 



.5 



5 2 5 5 



P. I*. 

s s 



< < 

5 i 



K «o S •*■ 

b» r< «- t- 



S3 



— PS 



2 



i 



a 



s 
1 

CO 

! 



I I J : 



I 



3 •? 



-IS 



a 





4 © 



9> Oi 






5 3 3 3 



^ ^ J J J 




9 

5 



5 6 2 



5 
I 5 



Q 



a. 






i 
i 






1 



c 

« 

a 
3 

•5 
3" 



3 




2/T'd 



Wd0T:S0 66* 12 Nbl 



2 

e 
U 



3 i 1 

5 3 .3 






o *% t*» r* e *n 
~- « m — • ^ ~ 

© -v ^> f* O *»» 



"T 9 "? 
>• ^ •»» 



S .S . 5 



■2 

u 

35 



o _ — <-, — 

^- *# *r ^r ▼ 

Os On Ov 0\ &• 



< 



3 5 5 



<■ 



< 
o 



s 



a- 

s 



5 



a. 

3 



5 



2 i 

i i 



§ 2 



— — — o> 



6 s 



e 



J 



i I 



"5 

2 



c 

c 



c 
o 

v 

a 



u 

.s 



5 

H 



= "8 — 






u 



Attachment I 
Page 2 of 2 



2/z - d 



10 



Wd0T:S0 66, 12 NWf 



Attachment II 



Early Childhood Mental Health 1 (ECMH I) 


Year 3 budget! 


I _L 




Peter & Miriam Haas Grant 


I 


Grant Period: April 1, 1998 • March 31, 1999i 


Institute- 





Budget Detail 

r i i 




| ir'amiiia 






de la Raza 





i i 








PERSONNEL 







Westside 


(JFFh 


Total 




— J 


FTE "1 


contract 


contract 


Amount 

44~30£ 
22.641 " 

66.950 




Salaries ! 





1.00 










Clinician 1 


23.424 

10.779 


20,8.85 

11.862 


Consultant 




0.60 


sub-total 






34.203 


32.747 


1 Benefits 




! 5,593 


7,859 


13,452 


I 


Total Personnel: 







39.796 


40,606 


80.402 


1 








OPERATING EXPENSES: 









I 


| | 








I Office Supplies 







143 


1,583 


1,726 


1 Insurance 


- ■--■ 


1 ,41 6 

" '24 5 


1.500_ 
500 


I 2,91 6_ 

I" "545 


(Transportation 




Staff training I 


I 


500 


I Training Coordinator ! 


1,367 


1.367 




i 
















Total Operating Expenses: 








1,804 


._ jj.25.0. 


„L054_ 






| 


Total Direct Expenses: 


i 


41.600 


45,856 


87,456 


Indirect Expenses: 


1 1 


4,159 5,044 


9,203 




l 


! J_ 


I | 


| 


Grs 


md Tc 


>tal Expenses: 


1 1 


I 45,758 I 50,900 


96,658 






i 


I I 


| 






1 


1 1 


I I 


I 



12/1/98 

Philip Tse 



11 



Attachment III 
Page 1 of 2 



File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: DPH-Community Mental Health Services 

2. Contact Person: Philip Tse , Telephone: 255-3637 

3. Project Title: Early Childhood Mental Health Services 

4. Grant Source Agency: Miriam & Peter Haas Fund 

5. Type of Funds: Federal Federal-State(Pass-through) State 

Local X Private 

6. Proposed (New/ Continuation ) Grant Project Summary: 

The purpose of this grant is to provide consultation, staff training, prevention, and early 
intervention services and support for constituents of licensed, center-based early childhood 
programs serving San Francisco's low-income families. 

a. To promote the well-being and functioning of early childhood programs and staff 

b. To improve the quality of child care in San Francisco 

c. To provide an integrated, community based-multi-level early childhood mental health 

services 

7. Amount of Grant Funding Applied for: 596,658 

8. Maximum Funding Amount Available: $96,658 

9. Required Matching Funds? Yes: No: X Cash or In-kind: 

If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: 1.6 FTE (contractual staff) 

1 1 .If new positions are created , explain the disposition of employees once the grant ends? 
Grant funded employees will not be retained after this grant terminates. 

12. Are indirect costs eligible costs for this grant? Yes: No: X 



7/27/98 

12 



Attachment III 
Paee 2 of 2 



If yes, please identify the amount of $ in indirect costs: 
13. Amount to be spent on contractual services: $96,658 
14.a)Will contractual services be put out to bid? Yes: No: X 

15.1s this likely to be a one-time or ongoing request for contracting out?: 
16. Term of Grant: Start Date: April 1, 1998 End-Date: March 31, 1999 

1 7. Date Department Notified of Available Funds: August 1998 

18. Grant Application Due Date: 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 

appropriations legislation): 

Selected from grant announcement 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 




Signature 



7/27/98 

13 



Memo to Public Health and Environment Committee 

January 28, 1999 Public Health and Environment Committee Meeting 



Item 3 - File 99-0039 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Central Administration, to accept retroactively and 
expend a grant in the amount of $119,250 from the 
California HealthCare Foundation for Planning an 
innovative long-term care service delivery system for frail 
elderly and disabled adults in San Francisco and to enter 
into an agreement which does not include patent 
infringement indemnification and false claims clauses; 
providing for ratification of action previously taken. 

$119,250 

January 1, 1999 to December 31, 1999 

California HealthCare Foundation 

The DPH Central Administration has entered into an 
agreement with and accepted grant funds from the 
California HealthCare Foundation, a nonprofit agency, to 
conduct a project entitled "San Francisco's Long Term 
Care Integration Pilot Project." The purpose of this project 
is to complete planning for an innovative long-term care 
service delivery system for frail elderly and disabled 
adults in San Francisco. Ms. Tangerine Brigham of DPH 
states that this system will improve access to long-term 
care services by stressing the importance of home and 
community-based alternatives to institutionalization. 

The detailed planning to be funded under this proposed 
grant is designed to enable, specifically, (1) an evaluation 
of all alternatives for initial governance structure and the 
recommendation of a permanent and/or transitional long- 
term care services agency; (2) the development of 
administrative structures and functions required to 
implement fee for service managed care; (3) the gathering 
and analyzing of Medi-Cal and other data required to 
develop a capitated long-term care service delivery 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



14 



Memo to Public Health and Environment Committee 

January 28, 1999 Public Health and Environment Committee Meeting 

system; and (4) the determination of the waiver authority 
needed for each phase of delivery 1 . 



Budget: 



The grant budget will support the following contractual 
services: (1) a full-time project director; (2) 
financial/data/actuarial consultation; (3) meeting 
facilitation consultation; and (4) a consultant on issues 
concerning capitated long-term care for the younger 
disabled population. DPH selected the Haight Ashbury 
Free Clinic on a sole-source basis to contract with the 
Department to provide fiscal agent services to administer 
the grant (see Comment No. 2). The Attachment, provided 
by DPH, contains the budget details in the amount of 
$119,250. 



Required Match: 
Indirect Costs: 



None 



$5,680 



Comment: 



1. According to Ms. Brigham, the proposed resolution 
authorizes DPH to accept the grant retroactively since 
DPH entered into this agreement with the California 
HealthCare Foundation on November 30, 1998, and 
accepted the grant funds on December 17, 1998, prior to 
obtaining approval from the Board of Supervisors. None of 
the subject grant funds have been expended, according to 
Ms. Brigham. 

2. Ms. Brigham advises that the Haight Ashbury Free 
Clinic was selected on a sole source basis to provide fiscal 
agent services to administer this grant and to provide 
consultation services for this plan because the services 
required are similar to services which were provided last 
year by the Haight Ashbury Clinic under a grant from the 
California Endowment Community Health Investment 
Program and approved by the Board of Supervisors (File 
No. 98-313). 



1 Ms. Brigham states that a Federal Waiver is required when changes are made to the delivery of a 
Federal program. This proposed planning project will develop ways to change Medi-Cal's delivery by 
providing alternatives to the current service delivery system of institutionalization for frail elderly 
and disabled adults. As part of this planning project and in preparation for the implementation of 
these alternatives, the waiver authority required by the Federal government will be determined by 
DPH and the State. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



15 



Memo to Public Health and Environment Committee 

January 28, 1999 Public Health and Environment Committee Meeting 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by the California HealthCare 
Foundation for the infringement of patent rights; and (2) 
the requirement contained in Section 6.57(c) of the City's 
Administrative Code that the agreement include a 
paragraph reciting the false claim provisions contained in 
Section 6.57(a) of the City's Administrative Code. 
According to Ms. Jean Fraser of the City Attorney's Office, 
these requirements apply when the City purchases goods 
or services, not when the City receives funds from a grant. 
Therefore, the waivers in this case are standard and pose 
minimal risk to the City, according to Ms. Fraser. 



Recommendation: 



4. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
similar agreements with the California HealthCare 
Foundation if the grant recurs or is renewed. 

Approval of the proposed resolution is a policy matter for 
the Board of Supervisors since this resolution authorizes 
the Director of Public Health to enter into other future 
agreements, similar to the subject Agreement, with the 
California HealthCare Foundation if the grant recurs or is 
renewed, without obtaining subsequent approval by the 
Board of Supervisors. 




[arvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Leno 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yaki 
Supervisor Yee 



Clerk of the Board 
Controller 
Gail Feldman 
Matthew Hymel 
Steven Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



16 



Attachment 



82/15/1995 01:01 A155542622 



DPH PLANHINS 



PAGE 62 




17 




City and County of San Francisco 
Meeting^Iinutes 
^Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Greg Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102^689 



Thursday, February 11, 1999 



1:00 PM 



-3s 



City Hall, Room 263 



2 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



DOCUMENTS DEPT. 



h 



n 



MEETING CONVENED 

The meeting convened at 1:03. P.M. 

REGULAR AGENDA 



FEB 2 2 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



990080 [Mental Health Services Agreement] 

Resolution authorizing the Department of Public Health to enter into an agreement with the California Pacific 
Medical Group, Inc., dba Brown & Toland Medical Group, which includes indemnification and binding 
arbitration clauses and does not include patent infringement indemnification and false claims clauses. 
(Department of Public Health) 

1/12/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Departmental Representative: Louise Rogers, Assistant Director of Managed 
Care, Department of Public Health. In Support: None. Opposed: None. Amended. On Page I, line 2 insert 
"retroactively" before "authorizing". After "authorizing" add "from May I, 1998". On Page 1, line 22, insert 
"retroactively" before "authorized". After "authorized" add "from May 1, 1998". 
AMENDED. 

Resolution retroactively authorizing from May 1, 1998, the Department of Public Health to enter into an 
agreement with the California Pacific Medical Group, Inc., dba Brown & Toland Medical Group, which 
includes indemnification and binding arbitration clauses and does not include patent infringement 
indemnification and false claims clauses. (Department of Public Health) 

RECOMMENDED AS AMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 

990081 [Mental Health Services Agreement] 

Resolution authorizing the Department of Public Health to enter into an agreement with the San Francisco 
Health Authority, dba the San Francisco Health Plan, which includes binding arbitration and payment disputes 
clauses and does not include patent infringement indemnification and false claims clauses. (Department of 
Public Health) 

1/12/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Departmental Representative: Louise Rogers, Assistant Director, Managed 
Care, Department of Public Health. In Support: None. Opposed: None. Amended. On Page 1, line 3 before 
"authorizing" insert "retroactively". After "authorizing" add "from July I, 1998, ". On Page 2, line 7 after 
"hereby" insert "retroactively" and after "authorized" insert "from July 1, 1998, ". 
AMENDED. 






City and County of San Francisco 



Printed at 10:57 AM on 2H2W9 



Public Health and Environment Committee 



Meeting Minutes 



February 11, 1999 



Resolution retoactively authorizing from July 1, 1998, the Department of Public Health to enter into an 
agreement with the San Francisco Health Authority, dba the San Francisco Health Plan, which includes 
binding arbitration and payment disputes clauses and does not include patent infringement indemnification and 
false' claims clauses. (Department of Public Health) 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 

9901 22 [DPH - State Dept of Mental Health Performance Contract, FY 
1998-19991 

Resolution authorizing the Department of Public Health, Public Health Division, Community Mental Health 
Services, to enter into the fiscal year 1998-1999 performance contract with the State Department of Mental 
Health, which includes indemnification clauses and does not include patent infringement indemnification and 
false claims clauses. (Department of Public Health) 

1/20/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Lucille Burlew-Lawler, Grants Manager, Department of Public Health. In 
Support: None. Opposed: None. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 
981986 [Domestic Violence Task Force] Supervisor Kaufman 

Resolution rescinding Resolutions No. 131-86 and 604-88, which established and extended the Domestic 
Violence Task Force, thereby terminating the Domestic Violence Task Force; thanking the members of the 
Domestic Violence Task Force for their efforts. 

1 1/23/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 

Heard in Committee. Speakers: Departmental Representative: Gail Stein, representing Supervisor Barbara 
Kaufman. In Support: None. Opposed: None. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 
981744 [Ammunition Sales Registration] Supervisors Yaki, Leno, Katz 

Ordinance amending Police Code by amending Section 618, to require vendors to obtain the thumbprint or 
fingerprint of persons purchasing firearm ammunition. 

(Amends Section 618.) 

10/19/98, ASSIGNED UNDER 30 DAY RULE to Housing and Neighborhood Services Committee, expires 
on 11/18/1998. 

11/9/98, SUBSTITUTED. 

1 1/9/98, ASSIGNED to Housing and Neighborhood Services Committee. City Attorney approved as to form. 

12/3/98, CONTINUED TO CALL OF THE CHAIR. Heard in Committee. In Support: None. Opposed: 
Peter Buxton. 

1/25/99, TRANSFERRED to Housing and Social Policy Committee. 

2/3/99, TRANSFERRED to Public Health and Environment Committee. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



; 



City and County of San Francisco 



Printed at 10:57 AM on Z^1ZV9 



Public Health and Environment Committee Meeting Minutes February 11,1 999 

981755 [Ammunition Sale Prohibition] Supervisors Yaki, Leno, Katz, 

Bierman 

Ordinance amending Police Code by adding Section 613.10-2, to prohibit sales of firearm ammunition during 
the weeks immediately preceding New Year's Eve and the Fourth of July. 

(Adds Section 613.10-2.) 

10/19/98, ASSIGNED UNDER 30 DAY RULE to Housing and Neighborhood Services Committee, expires 
on 11/18/1998. 

11/9/98, SUBSTITUTED. 

1 1/9/98, ASSIGNED to Housing and Neighborhood Services Committee. City Attorney approved as to form. 

12/3/98, CONTINUED TO CALL OF THE CHAIR. Heard in Committee. In Support: None. Opposed: 
Peter Buxton. 

1/25/99, TRANSFERRED to Housing and Social Policy Committee. 

2/3/99, TRANSFERRED to Public Health and Environment Committee. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 

ADJOURNMENT 

The meeting adjourned at 1:20 P.M. 



City and County of San Francisco 3 Printed at 10:57 AM on 2/12/99 



( 



F 

?o.Po 

5 



Public Library,Gov't Info. Ctr., 5 th Fir. 
Attn: Susan Horn 




[TV \ND COUNTS ^ ^f J| OF SAN FRANCISCcOOCL/MENTQ n 

FEB ' I 1999 

BOARD OF SUPERVISORS f f" N F ^ANC/SCO 

PL, SL/C L/BRARy 
BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



TO: 
FROM: 



February 9, 1999 
^Public Health and Environment Committee 
^Budget Analyst Ae^m^t^Ja.o^? •&•- ^«^.oc a ( 



SUBJECT: ^February 11, 1999 Public Health and Environment Committee 
Meeting 



Item 1 - File 99-0080 

Department: 

Item: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to enter into an agreement with the California Pacific 
Medical Group, Inc., d.b.a Brown & Toland Medical 
Group, which includes indemnification and binding 
arbitration clauses and which does not include patent 
infringement indemnification and false claims clauses. 

The proposed resolution authorizes the Department of 
Public Health (DPH), Community Mental Health Services 
to enter into an agreement with California Pacific Medical 
Group, Inc., d.b.a Brown & Toland Medical Group 
(BTMG) for DPH's Community Mental Health Services to 
provide mental health services, including child crisis 
services, to enrollees of the BTMG. 



The BTMG operates a health care service plan, according 
to Ms. Louise Rogers of the DPH. Ms. Rogers states that 



Memo to Public Health and Environment Committee 

February 11, 1999, Public Health and Environment Committee Meeting 

the DPH's Community Mental Health Services would 
provide enrollees of the BTMG with the following 
services: 

(a) Psychiatric Assessment & Treatment/Crisis 
Intervention 

(b) Individual Mental Health Therapy 

The term of the proposed agreement is for a one-year 
period from May 1, 1998 through April 30, 1999 (see 
Comment No. 1). 

Under the proposed agreement, the DPH would be 
reimbursed by the BTMG at the following rates for 
providing the above-noted services: 

Service Hourly Rate 

Psychiatric Assessment $147 

& Treatment/Crisis Intervention 

Individual Mental Health Therapy $94 

Ms. Rogers estimates that the DPH will be reimbursed 
approximately $50,000 by BTMG over the term of the 
proposed agreement. The Attachment to this report, 
provided by Ms. Rogers, explains the basis for this 
estimated amount of $50,000. 

Comments: 1. According to Ms. Rogers, the DPH has provided mental 

health services to the enrollees of BTMG since May 1, 
1998. Therefore, this resolution should be amended to 
provide for retroactive approval of the proposed 
agreement to May 1, 1998. 

2. According to Ms. Jean Fraser of the City Attorney's 
Office, as a condition of entering into the subject contract 
agreement (the "Agreement") with the BTMG, the City 
agreed to (1) indemnify the BTMG and (2) submit all 
claims arising out of the Agreement to binding 
arbitration. Ms. Fraser explains that indemnifying the 
BTMG would not place the DPH and the City at undue 
risk, and would only indemnify the BTMG in those cases 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

February 11, 1999, Public Health and Environment Committee Meeting 

wherein an agent of the DPH or the City has been 
' negligent or engaged in willful misconduct. 

3. Ms. Fraser also advises that the Agreement would 
require the City to waive (1) the requirement contained in 
Sections 6.21 and 21.19 of the City's Administrative Code 
that the Agreement include an indemnification of the City 
by BTMG for the infringement of patent rights; and (2) 
the requirement contained in Section 6.57(c) of the City's 
Administrative Code that the Agreement include a 
paragraph reciting the false claim provisions contained in 
Section 6.57(a) of the City's Administrative Code. 
According to Ms. Fraser, these requirements apply when 
the City purchases goods or services, not when the City 
receives funds from a contract agreement. Therefore, the 
waivers in this case are standard and pose minimal risk 
to the City, according to Ms. Fraser. 

Recommendations: 1. In accordance with Comment No. 1 above, amend the 

proposed resolution to provide for retroactive approval to 
May 1, 1998 of the proposed agreement between the DPH 
and the BTMG. 

2. Approve the proposed resolution as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



City and County of San Francisco 
Department of Public Health 

POPULATION HEALTH AND PREVENTION 



Attachment 



Louise Rogers 

Assistant Director, Community Mental Health Services 

1380 Howard Street 

San Francisco, CA 94103 

(415) 255-3416 




Date: 
To: 

From: 
Subject: 



February 8, 1999 

Gabe Cabrera 
Budget Analyst 



^ 



Louise Rog 



Rationale for Projected Revenue from Brown and Toland Agreement 



The Department of Public Health expects to receive approximately $50,000 in FY 98-99 
pursuant to the agreement with Brown and Toland Medical Group through which 
Community Mental Health Services will provide crisis services to Brown and Toland 
members on a fee-for-service basis. The Department expects to receive $46,305 for 315 
units of crisis service at $147 a unit. In addition, the Department expects to receive 
$3,760 for 40 units of outpatient service at $94 a unit. Thus, the total expected revenue 
is $50,000, the sum of $46305 and $3,760. 

Please let me know if you have any further questions. 



Z/Z'd 



WdS0:2T 65. 80 E23 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-0081 

Department: 

Item: 



Description: 



Department of Public Health (DPH) . 

Resolution authorizing the Department of Public Health 
to enter into an agreement with the San Francisco 
Authority d.b.a. the San Francisco Health Plan, which 
includes binding arbitration and payment disputes 
clauses and which does not include patent infringement, 
indemnification and false claims clauses. 

The proposed resolution authorizes the Department of 
Public Health (DPH), Community Mental Health System 
to enter into an agreement with the San Francisco Health 
Authority d.b.a. the San Francisco Health Plan (SFHP) 
for DPH's Community Mental Health System to provide 
or arrange for the provision of mental health and 
substance abuse treatment services to enrollees of the 
Healthy Families Program and employees of the In Home 
Support Services (IHSS) Program. 

According to Ms. Louise Rogers of the DPH, the SFHP, 
which is a health management organization operated by 
the local, public entity of the San Francisco Health 
Authority 1 , has entered into (a) an agreement with the 
Managed Risk Medical Insurance Board (MRMIB) 2 for the 
SFHP to provide mental health and substance abuse 
treatment services to the enrollees of the Healthy 
Families Program, and (b) an agreement with the IHSS 
Public Authority for the SFHP to provide mental health 
and substance abuse treatment services to the employees 
of the IHSS Program. 

Ms. Rogers states that the DPH's Community Mental 
Health System operates a mental health provider system, 
which includes outpatient mental health facilities owned 
and operated by the City, mental health professionals 
employed by the City, and contracts with inpatient and 



1 The San Francisco Health Authority was created by an amendment to the City's Administrative Code in November 
of 1994, distinct from the City and County of San Francisco, to operate the SFHP. 

2 The MRMIB was created in 1990 with a board mandate to advise the Governor and the Legislature on strategies 
for reducing the number of medically uninsured persons in the State. The MRMIB administers four health care 
programs, including the Healthy Families Program. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

5 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 

outpatient mental health and substance abuse treatment 
facilities and licensed mental health professionals. 

According to Ms. Rogers, the DPH's Community Mental 
Health System would provide enrollees of the Healthy 
Families Program and the IHSS Program with various 
inpatient and outpatient mental health and substance 
abuse treatment services. Attachment I, provided by Ms. 
Rogers, contains a list of these inpatient and outpatient 
mental health and substance abuse treatment services. 

The term of the proposed agreement is for a one-year 
period from July 1, 1998 through June 30, 1999 (see 
Comment No. 1). 

According to this resolution, unless terminated, the 
proposed agreement (a) would be automatically renewed 
each year, without approval from the Board of 
Supervisors, and (b) would authorize the Director of 
Public Health and/or the Health Commission to make 
amendments to the proposed agreement without approval 
from the Board of Supervisors. 

Under the proposed resolution, the DPH would be 
reimbursed by the SFHP at the following capitation rates 3 
for providing the above-noted services: 

Program Capitation Rate 

Healthy Families Program $0.98 

IHSS Program $4.80 

According to Ms. Rogers, the capitation rate for the IHSS 
Program is higher than that of the Healthy Families 
Program because the enrollees of the Healthy Families 
Program, who are children, require fewer mental health 
and substance abuse treatment services than the 
employees of the IHSS Program, who are adults. As a 
result, according to Ms. Rogers, the per person cost of 
providing mental health and substance abuse treatment 
services to Healthy Family Program enrollees is less 
expensive than that cost for IHSS Program employees. 



A capitation rate is a uniform fee charged on a monthly basis for each person, according to Ms. Rogers. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 

Ms. Rogers advises that this cost differential in the 
provision of services is reflected in the above-noted 
capitation rates. 

Ms. Rogers estimates that over the one-year term of the 
proposed agreement, the DPH will be reimbursed 
approximately $60,000 by the SFHP for the above-noted 
mental health and substance abuse treatment services to 
be rendered by the DPH for the enrollees of the Healthy 
Families Program and employees of the IHSS Program. 
Attachment II, provided by Ms. Rogers, explains the basis 
for this estimated amount of $60,000. 



Comments: 



Recommendations: 



1. According to Ms. Rogers, the DPH has offered mental 
health and substance abuse treatment services to the 
enrollees of the Healthy Families Program and the 
employees of the IHSS Program since July 1, 1998. 
Therefore, this resolution should be amended to provide 
for retroactive approval of the proposed agreement to July 

1. 1998. 

2. According to Ms. Jean Fraser of the City Attorney's 
Office, as a condition of entering into the proposed 
agreement (the "Agreement") with the SFHP, the City 
must agree to submit all claims arising out of the 
Agreement to binding arbitration. 

3. Ms. Fraser also advises that the Agreement would 
require the City to waive (1) the requirement contained in 
Sections 6.21 and 21.19 of the City's Administrative Code 
that the Agreement include an indemnification of the City 
by the SFHP for the infringement of patent rights; and (2) 
the requirement contained in Section 6.57(c) of the City's 
Administrative Code that the Agreement include a 
paragraph reciting the false claim provisions contained in 
Section 6.57(a) of the City's Administrative Code. 
According to Ms. Fraser, these requirements apply when 
the City purchases goods or services, not when the City 
receives funds from a contract agreement. Therefore, the 
waivers in this case are standard and pose minimal risk 
to the City, according to Ms. Fraser. 

1. In accordance with Comment No. 1 above, amend the 
proposed resolution to provide for retroactive approval to 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 

July 1, 1998 of the proposed agreement between the DPH 
and the SFHP. 

2. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors since (1) the 
proposed agreement would be automatically renewed each 
j^ear without approval by the Board of Supervisors, and 
(2) the Director of Public Health and/or the Health 
Commission would be authorized to make amendments to 
(a) the proposed agreement and (b) any future, 
automatically-renewed agreements, without approval by 
the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

8 



Attachment I 
Page 1 of 2 



EXHIBIT A 
CAPITATED PROVIDER SERVICES 

San Francisco Health Plan 
DIVISION OF FINANCIAL RESPONSIBILITY for Mental Health Services 



SERVICES AND RESPONSIBILITIES UNDER THIS AGREEMENT, WHEN A CAPITATED 
PROVIDER SERVICE UNDER THE MEMBER'S EOCINCLUDE: 



SERVICES 


OUTPATIENT | INPATIENT 


Ambulance Transportation - initial (emergency) 
referral 

To Full Service Hospital 

To Psychiatric Hospital 


IP A/Hospital 

Mental Health Network 


EPA/Hospital 

Mental Health Network 


Ambulance Transportation - subsequent (non- 
emergency) referral, includes interfacility transfers 

To Full Service Hospital 

To Psychiatric Hospital or Rehab Home 


L? A/Hospital 

Mental Health Network 


IP A/Hospital 

Mental Health Network 


Biofeedback | Mental Health Network 


Mental Health Network 


Chemical Dependency, acute detoxification only 
Professional 
Facility 


IP A/Hospital 
EPA/Hospital 


IP A/Hospital 
IP A/Hospital 


Chemical Dependency, rehabilitation 
Professional 
Facility 


Mental Health Network 
Mental Health Network 


Mental Health Network 
N/A 


Counseling & Psychotherapy 
Individual & Family 
Group 


Mental Health Network 
Mental Health Network 


Mental Health Network 
Mental Health Network 


Day Treatment 


Mental Health Network 


Mental Health Network 


Diagnostic Testing and Interpretation (Scoring) of 
Mental Health Diagnostic Tests 


Mental Health Network 


Mental Health Network 


ECT 


Mental Health Network | Mental Health Network 


Emergency Department Services 

Emergency Department Professional in Full 
Service Hospital 

Emergency Department Mental Health 
Professional 

Facility (includes ancillary tests) for initial 
evaluation 


IP A/Hospital 

Mental Health Network 
IP A/Hospital 


N/A 

N/A 
N/A 


Hospital Care, including room/board, nursing and 
ancillary services for acute psych and sub- 
acute/SNF psych beds 


N/A 


Mental Health Network 


Hypnotherapy 


Mental Health Network 


Mental Health Network 


Injections and injected substances 
Office Based - administered by physician 


Mental Health Network 


N/A 


■Laboratory** 
'Ordered by Mental Health Professional 
. Ordered by Medical Group Professional 


Mental Health Network 
IP A/Hospital 


Mental Health Network 
IP A/Hospital 



SFHP Mental Health Services Agreement 1 



10/26/98 



Attachment I 
Page 2 of 2 



SERVICES | OUTPATIENT | INPATIENT 


Medical Supplies dispensed in: 
Mental Health Professional Office 
Psychiatric Hospital 


Mental Health Network 
N/A 


Mental Health Network 
Mental Health Network 


Out-of-Area or Out-of-Network Mental Health 
Care (includes emergency room and emergency 
admissions) 

Professional 

Facility 


Mental Health Network 
Mental Health Network 


Mental Health Network 
Mental Health Network 


Pharmacologic Management 


Mental Health Network | Mental Health Network 


Pharmacy 


SFHP 

(prescription drugs only) 


Mental Health Network 
(includes inpatient and 
discharge drugs) 


Professional Services (Psychiatrist MD, PhD and 
other mental health professionals)* 

Office 

Home 

Other Outpatient (ER, SNE) 

Inpatient Hospital 
* office visits, attending and consulting 
professional services 


Mental Health Network 
Mental Health Network 
Mental Health Network 
N/A 


N/A 
N/A 
N/A 
Mental Health Network 


Radiology (Diagnostic Imaging) 
Ordered by Mental Health Professional 
Ordered by Medical Group Professional 


Mental Health Network 
IP A/Hospital 


Mental Health Network 
N/A 


Any other Mental Health Service covered by the 
applicable Evidence of Coverage not listed above 

Professional 

Facility 


Mental Health Network 
Mental Health Network 


Mental Health Network 
Mental Health Network 



** = Pre-admission services performed on an outpatient basis by hospital (including, but not limited to the 
technical component of laboratory, radiology/imaging and other diagnostic tests) which result in a hospital 
admission are expressly considered to be the financial responsibility of the hospital under the applicable 
per diem, case rate or capitation payment. 

For Healthy Families, services that are carved out by MRMTJ3, such as vision care, dental 
care, CCS services and mental health SED services, are Non Covered Services under this 
Agreement. 

Capitated Provider Services do not include the following services: 

(i) Outpatient drugs and medications, except for take-home drugs customarily 
provided, by a mental health facility upon patient discharge or drugs and medications 
customarily dispensed without charge by Provider's outpatient treatment centers; 
' (ii) MRJs or CT Scans for the purpose of diagnosis of organic or physical conditions; 
■(iii) Acute detoxification of the type and nature customarily provided by acute care 
hospitals. 



SFHP Mental Health Services Agreement 1 



23 



10/26/98 



10 



Attachment II 



City and County of San Francisco 
Department of Public Health 

POPULATION HEALTH AND PREVENTION 



Louise Rogers 

Assistant Director, Community Mental Health Services 

1380 Howard Street 

San Francisco, CA 94103 

(415) 255-3416 




Date: 
To: 

From: 

Subject: 
Agreement 



February 8, 1999 

Gabe Cabrera 
Budget Analyst 




Louise Roge 

Rationale for Projected Revenue from San Francisco Health Plan 



The Department of Public Health expects to receive approximately $60,000 in FY 98-99. 
pursuant to the agreement with the San Francisco Health Plan through which 
Community Mental Health Services will provide or arrange for the provision of 
behavioral health services to the Health Plan's Healthy Families and IHSS Program 
Members in exchange for a capitated rate. The Department expects to receive $0.98 per 
member, per month for 2,000 Healthy Families members. This amounts to $23,520 for 
12 months. In addition, the Department expects to receive $4.80 per member, per 
month for approximately 1900 IHSS members. This amounts to $36,480 for 4 months, 
since. IHSS members will not enroll until after March. Thus, the total expected revenue 
is $60,000, the sum of $23,520 and $36,480. 

Please let me know if you have any further questions. 



11 



E/E'd 



Wd90:2T 66, 80 S3 J 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 



Item 3 - File 99-0122 
Department: 

Item: 



Description: 



Comment: 



Department of Public Health (DPH) 
Community Mental Health Services 

Resolution authorizing the Department of Public Health 
(DPH), Community Mental Health Services, to enter into 
the FY 1998-99 Performance Contract with the State 
Department of Mental Health, which includes 
indemnification clauses and does not include patent 
infringement indemnification and false claims clauses. 

State Assembly Bill 1288 established the annual County 
Performance Contract as the basis for State allocations 
for County mental health services. This Performance 
Contract must be approved by the Board of Supervisors 
prior to its submission to the State. The proposed 
resolution would provide approval of the San Francisco 
City and County Performance Contract for mental health 
services provided during Fiscal Year 1998-99. 

Mr. Bill McConnell of the Department of Public Health 
(DPH), Community Mental Health Services, reports that 
the State requires that the Performance Contract contain: 
(a) general assurances of the City regarding maintenance 
of effort; (b) administrative assurances regarding County 
compliance with Federal and State regulations; (c) a 
commitment to continue supplying selected client and cost 
information data; (d) compliance with basic service 
delivery principles; and (e) submission of documents 
pertaining to various State regulations. 

1. Mr. McConnell advises that for FY 1997-98, the DPH 
Community Mental Health Services received a total 
allocation of approximately $48,571,081 from the State 
Department of Mental Health in State Realignment 
Funds. In FY 1998-99, the DPH Community Mental 
Health Services was allocated approximately $47,571,084 
in State Realignment Funds, or a decrease of $999,997. 
According to Mr. McConnell, the proposed Performance 
Contract is consistent with the FY 1998-99 DPH 
Community Mental Health Services budget, as approved 
by the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

12 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 



Recommendation: 



2. Mr. McConnell reports that because of delays with the 
State in receiving the contract document and extensive 
negotiations regarding State approved hospital rates and 
the final allocation to DHP Community Mental Health 
Services, the Performance Contract for FY 1998-1999 is 
being submitted for approval at this time. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.9 of the 
City's Administrative Code that the contract include an 
indemnification of the City by the State Department of 
Mental Health for the infringement of patent rights; and 
(2) the requirement contained in Section 6.57(c) of the 
City's Administrative Code that the contract include a 
paragraph reciting the false claim provision contained in 
Section 6.57(a) of the City's Administrative Code. 
According to Ms. Jean Fraser of the City Attorney's Office, 
these waivers are standard and pose minimal risk to the 
City. In addition, the proposed resolution authorizes the 
inclusion in the contract of an indemnification provision 
by which the City would indemnify the State. Ms. Fraser 
states that this provision would require the City to defend 
and pay damages assessed against the State arising out of 
negligence by the City in the performance of the proposed 
contract. Ms. Fraser advises that the City has entered 
into numerous contracts with the State which include 
similar indemnification provisions and waivers and that 
the risk of liability to the City is minimal. 

Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

February 11, 1999 Public Health and Environment Committee Meeting 




Parvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Becerril 
President Ammiano 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yaki 
Supervisor Yee 
Clerk of the Board 
Controller 
Gail Feldman 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

14 



-th 



CITY AND COUNTY 




Public Library,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



of /S anfrancisc(docUMENTS DEPT. 



^BOARD OF SUPERVISORS FEB 25 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



BUDGET ANALYST 



February 23, 1999 
TO: ^Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: JFebruary 23, 1999 Public Health and Environment Committee Meeting 



Item 1 - File 99-0202 



Department: 



Item: 



Amount: 
Contract Period: 

Source of Funds: 



Department of Public Health 
Population and Prevention Division 

Resolution authorizing the Department of Public Health 
(DPH) to enter into a Memorandum of Understanding 
(MOU) with the University of California San Francisco in 
the amount of $73,487 to conduct a research study of 
inadequate follow-up of mammography abnormalities, 
retroactive to July 1, 1998. The Contract/MOU contains 
an indemnification clause and patents and rights in data 
clauses and does not include patent infringement 
indemnification and false claims clauses. 

$73,487 

Retroactive to July 1, 1998 and extending to June 30, 
1999 (See Comment No. 1) 

University of California San Francisco (UCSF) Breast 
Cancer Research Program 



Memo to Public Health and Environment Committee 

February 25, 1999 Public Health and Environment Committee Meeting 



Description: 



Budget: 



The proposed resolution would authorize the DPH to 
enter into a Memorandum of Understanding (MOU) with 
the University of California, San Francisco (UCSF) for 
DPH to conduct a study titled "Inadequate Follow-up of 
Mammography Abnormalities," as part of the Breast 
Cancer Research Program (BCRP). The amount of this 
contract is $73,487, payable by UCSF to DPH. 

The study seeks to investigate factors in the personal and 
social environment of African American women in the 
Bayview Hunters Point area and their health care 
delivery system, which may be associated with 
inadequate follow-up of mammography abnormalities. 
This study is a collaborative effort between the City's 
Department of Public Health's Community Epidemiology 
and Disease Control Section, the Bayview Hunters Point 
(BVHP) Health Task Force, and the University of 
California's Breast Cancer Research Program. 

The Attachment provided by DPH includes the proposed 
budget for the study for which UCSF is to reimburse 
DPH. 



Required Match: 
Indirect Costs: 

Comments: 



None 

The proposed contract includes indirect costs in the 
amount of $8,643 or 13.3 percent of direct costs of 
$64,844. 

1. The proposed contract would be effective retroactive to 
July 1,1998. However, according to Ms. Lucille Burlew- 
Lawler of DPH, due to several contract revisions by both 
the DPH and USCF, the contract was not finalized until 
January of 1999. According to Ms. Burlew-Lawler, no 
expenditures have been incurred against the proposed 
contract. 



2. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.9 of the 
City's Administrative Code that the contract include an 
indemnification of the City UCSF for the infringement of 
patent rights; and (2) the requirement contained in 
Section 6.57(c) of the City's Administrative Code that the 
contract include a paragraph reciting the false claim 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

February 25, 1999 Public Health and Environment Committee Meeting 

provision contained in Section 6.57(a) of the City's 
Administrative Code. According to Ms. Jean Fraser of the 
City Attorney's Office, these waivers are standard and 
pose minimal risk to the City. In addition, the proposed 
resolution authorizes the inclusion in the contract of an 
indemnification provision by which the City would 
indemnify The Regents of the University of California. 
Ms. Fraser states that this provision would require the 
City to defend and pay damages assessed against The 
Regents of "the University of California arising out of 
negligence by the City in the performance of the proposed 
contract. Ms. Fraser advises that the City has entered 
into numerous contracts with The Regents of the 
University of California, which include similar 
indemnification provisions and waivers and that the risk 
of liability to the City is minimal. Ms. Fraser also 
indicates that the provision giving UCSF rights to the 
data is a standard term in all grants and presents no risk 
to the City. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



19PM 



FR 0M DISEASE CONTROL A, 5 *» 7029 



Attachment 



53-4-7 ^4-2- 

Ple$se follow kistrucSorj Jb Ouplae 1 1, 



Co-Pfadp*l ' lnvas8g*t&: Darasxala c&bral Evlns, D r'Pw 
' Co-Prindpal Imzsfyatoc Arthur Coleman,' MP 
FORM7A «ATion lee, PhD 

This form Is required for all applications. 




FROM July 1, 1993 through 
June 30, 1999 



PERSONNEL (Sprung organization n}y) 



NAME 



Cabr&l Evina/ D 



Reiter, R. 



ROLE IN PROJECT 



Principal Invest 



Soc. Epideoiolog 100 



1 
•/. F7H 

Appl. 



100 



2 • 
** FTH 

on project 



IS 



5 Inkind 



3 

% FT5 
salary request 



15 



DOLLAR AMOUNT REQUESTED 
(Omit Cants) 



SALARY 



9762.00 



FRINGE 
BENEFITS 



TOTALS 



2440.50 



12202. 5C 



Porco, T. 



Biostatistician .100 



5 Inkinc 



TEA 



Project Coord. 



T3A 



tnterviever 



50 



35- 



"50~ 



1515X700 ~T75oTDTJ 



50 



50 



O 



50 



6323. 001582. 00 



'910.00 



TEA 



Intervxewer 



50 



) 50 



50 



6328. 0d 1582.00 



7910.00 



SUBTOTALS^ 



37609.04 *9402 . 50.47011.50 



SU8CONTRACTEO COLLABORATIVE PARTNERS, CONSULTANTS AN0 CONTRACTUAL COSTS (Itemize) 
Coleman, A- "co-?rincioal Investigator: Salary at 10* effort {$10,732} 

BCR? Meeting (Travel) (S500. 00) 
Telephone Service for Project ($300.00) 



11532. 0J 



supplies and EXPENSES (Itemize by category) Stipends-, survey participants ($25x100) ; 
focus group participants (S25x42) : Advisory Committee ($50x4x2 meetings). 
Refreshments: focus groups and CAB meetings ($450.00) 

Office Supplies . 

Office Space (Coleman Clinic Building in Bayview Hunters Point) 

Prioto copying ($350) Stamps ($150.00) 



4400-00 
100.00 
Inxir.d 
|- 500 -OO 



Equipment (itemize) 

Computer Equipment 
Office Furniture 
Tape .Recorder 



TRAVEL 



ANNUAL BCR? MsSTlNG 



PROJECT-RElATcO TRAYSL 



Inkind 
Inxind 

Inkind 



SCIHNT1P1C MEETINC(S) 



4 



TOTAL DIRECT COSTS FOR YEAR 1 



uTATTiMuiRLCl COS IS l-uk ifcAiTT 
TOTAL COSTS FOR YEAR 1 



P^ge 7a 



igp^OO. 
30O.00 



6£33^50 
^8643^00 
73486^50 



Memo to Public Health and Environment Committee 

February 25, 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-0198 

Department: 

Item: 



Public Utilities Commission (PUC) 

Resolution approving a water pump station relocation 
agreement (Relocation Agreement) between the City and 
County of San Francisco and the State of California 
Department of Transportation (CalTrans), which would 
provide for the construction of a new water pump station 
and the option to purchase an easement for the new pump 
station. 



Amount: 



Source of Funds: 



Costs: 



Description: 



$6,032,384 in total 

The current balance in Bay Bridge Pump Station Project 
account is $6,036,982, according to Mr. Carlos Jacobo of 
the PUC, which was the amount appropriated in the FY 
1998-1999 budget. 

The Attachment provided by Ms. Karen Kubick of the 
Public Utilities Commission (PUC) contains the total 
estimated costs of $6,032,384 associated with the new 
water pump station. This amount is composed of 
$3,836,620 for construction; $1,100,000 for the purchase 
of an easement from the State for the use of the Main and 
Bryant site for the new water pump station; $125,000 for 
pipe retrofit construction; and $970,764 in additional 
costs to the PUC for permits and construction 
management. 

The Public Utilities Commission owns and operates a 
water pump station that is located in one of the piers 
under the San Francisco- Oakland Bay Bridge. From this 
location, the water pump station provides potable water 
to Treasure Island and Yerba Buena Island and provides 
fire protection on the western side of the Bay Bridge. 

In 1937, the City and the State of California entered into 
an agreement (the 1937 Agreement) under which the City 
obtained the right to maintain water lines and the 
existing pump station on the Bay Bridge. The 1937 
Agreement provided that if the State is involved in repair 
work on the Bay Bridge and if the City's facilities would 
interfere with such repair work, the City's facilities must 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

5 



Memo to Public Health and Environment Committee 

February 25, 1999 Public Health and Environment Committee Meeting 

be removed at the expense of the City. The State 
Department of Transportation (CalTrans) is commencing 
seismic safety retrofitting of the western side of the Bay 
Bridge, and, according to Mr. Charles Sullivan of the City 
Attorney's Office, the PUC's existing water pump station 
must be removed. 

Under the proposed Relocation Agreement, a new, larger 
water pump station would be constructed on State 
property located at the Main and Bryant site one block 
away from the existing water pump station and not under 
the Bay Bridge. Also under the proposed Relocation 
Agreement, the PUC would have the option to purchase 
an easement from the State for the permanent use of that 
site by the PUC. The PUC currently estimates that the 
easement will cost $1,100,000, according to Ms. Kubick. 

Comments: 1. According to Ms. Kubick, the new water pump station 

would be larger than the existing one, and would be 
capable of meeting the needs of development on Treasure 
Island and Yerba Buena Island. The existing water pump 
station would not be able to meet these needs. 

2. On February 2, 1998, the PUC and CalTrans entered 
into a Letter of Intent, which, according to Mr. Sullivan, 
reaffirms the PUC's obligations under the 1937 
Agreement between the State and the PUC. 

3. Ms. Kubick points out that two options are available to 
the PUC. The preferred option for the PUC is the 
proposed Relocation Agreement, which would cost 
$6,032,384. The second option would cost $1,582,380 
more than the proposed option, or a total of $7,614,764, 
and would involve removing the existing water pump and 
subsequently returning it to the current location in Bay 
Bridge pier, after repairs to the Bay Bridge are completed 
by the State. This second option would not provide the 
City with the increased water pumping capacity needed to 
serve the needs of development on Treasure Island and 
Yerba Buena Island. 

4. Mr. Sullivan explains that, under the proposed 
Relocation Agreement, if the PUC decides to exercise the 
option to purchase the easement located at the Main and 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

February 25, 1999 Public Health and Environment Committee Meeting 

Bryant site, then the new water pump station would be 
permanently located at the Main and Bryant site and 
could be removed only if the State condemned the subject 
property. 

5. As noted above, the PUC currently estimates the 
easement to cost $1,100,000. However, upon obtaining 
Board of Supervisors approval of the proposed resolution, 
the PUC and the State will each retain independent 
appraisers to determine the Fair Market Value (FMV) of 
the easement. Mr. Sullivan explains that although the 
PUC will seek input from the Department of Real Estate, 
the proposed Relocation Agreement requires the PUC and 
the State to retain independent appraisers. According to 
Mr. Gary Dowd of the PUC, the cost of retaining the 
outside appraiser for the PUC is estimated to be at least 
$25,000. 



Recommendation: 



Approve the proposed resolution. 




Harvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Gail Feldman 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



vci i."3/ j.^yy lb:23 



4155584913 



SAN FRANCISCO WATER 



PAGE 02 

Attachment 





Construction 


Pump Station Demolition 


$ 113,870 


Construct New Pump Station 


$ 2,438,750 


W1 Piping 


$ 59,000 


Pipeline Modification on Bridge 


$ 1,100,000 






Subtotal 


$ 3,711,620 






Impact to W-1 Retrofit Construction 


$ 125,000 






Total Construction Cost 


$ 3,836,620 






Land Cost 


$ 1,100,000 






TOTAL 


$ 5,061,620 










ADDITIONAL Cost SFPUC 




Construction Management 


$ 653,764.00 


Environmental Monitoring, A/E Services 




Art Commission 


$ 17,000.00 


Permits, Construction Support 


$ 300,000.00 


Total Additional 


$ 970,764.00 










TOTAL 


6,032,384.00 






Funding Source 




Bay Bridge Pump Station 




Project CUW203 SF PUC Capital Projects 




1996 Bond Fund 
















Alternative Two 








Temporary Station for Two Years 


$1,860,000 


Relocate New PS to W-1, Additional Land 


$3,500,000 


from C/T 




W1 Piping 


$ 59,000 


Pipeline Modification on Bridge 


$ 1,100,000 






Subtotal 


$ 6,519,000 






Impact to W-1 Retrofit Construction 


$ 125,000 






Total Construction Cost 


$ 6,644,000 






ADDITIONAL Cost SFPUC 




Construction Management 


$ 653,764.00 


Environmental Monitoring, A/E Services 




Art Commission 


$ 17,000.00 


Permits, Construction Support 


$ 300,000.00 


Total Additional 


$ 970,764.00 






TOTAL 


7,614,784.00 







City and County of San Francisco 

Meeting jVfinutes 

^Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Greg Hobson 



City Hall 

1 Dr. Carlton B. 

Goodie tt Place 

San Francisco, CA 

94102-4689 



Thursday, February 25, 1999 



1:00 PM 



City Hall, Room 263 



■ 2d 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



*fa 



Meeting Convened 

The meeting convened at 1:02 P.M. Supervisor Brown was noted present at 1:15 P.M. 
CONSENT AGENDA 






990202 [Contract, DPH - University of California] 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to enter 
retroactively into a subcontract in the amount of $73,487 with the University of California, the primary 
contractor, to conduct a research study of inadequate follow-up of mammography abnormalities, which 
includes an indemnification clause and patents and rights in data clauses and which does not include patent 
infringement indemnification and false claims clauses; retroactive to July 1, 1998. (Department of Public 
Health) 

2/3/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

RECOMMENDED.. 

990198 (Water Pump Station Relocation] 

Resolution approving a water pump station relocation agreement between the City and County of San 
Francisco and the State of California Department of Transportation, which includes an option to purchase an 
easement for the new pump station. (Public Utilities Commission) 

2/3/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

RECOMMENDED.. 

The foregoing items were acted upon by the following vote: 
Ayes: 2 - Bierman, Yaki 
Absent: 1 - Brown 



; 



DOCUMENTS DEPT. 

MAR 2 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 4:46 PM on V25/99 



Public Health and Environment Committee 



Meeting Minutes 



February 25, 1999 



REGULAR AGENDA 

990048 (Catastrophic Sick Leave and Long-Term Disability Task Force] Supervisors Ammiano, Yaki, 

Bierman, Brown, Katz 

Resolution establishing a Catastrophic Sick Leave and Long-term Disability Task Force to review issues 
related to the City's catastrophic sick leave and long-term disability insurance programs for city employees and 
to make recommendations to the Board of Supervisors and setting forth the membership and duties of the task 
force. 

1/1 1/99, ASSIGNED to Health, Family, and Environment Committee. 

1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 

Heard in Committee. Speakers: Supervisor Tom Ammiano; Bill Barnes, Mayor's Office; Ed Gazzano, 
Department of Public Health. In Support: David Franks, San Francisco AIDS Foundation. Opposed: None. 
Supervisors Yaki, Bierman and Brown requested to be added as co-sponsors. Supervisor Katz requested by 
memorandum to be added as a co-sponsor. Amendment of the Whole bearing the same title presented in 
Committee by Supervisor Ammiano. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 

Resolution establishing a Catastrophic Sick Leave and Long-term Disability Task Force to review issues 
related to the City's catastrophic sick leave and long-term disability insurance programs for city employees and 
to make recommendations to the Board of Supervisors and seting forth the membership and duties of the task 
force. 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 
990137 [Lead Hazard Reduction Citizens Advisory Committee Membership] Supervisor Bierman 

Ordinance amending Health Code Section 1608 to delete subparagraph 1608(b)(13); to correct the number of 
committee members; renumbering subparagraphs 1608(b)(14) and (15); to clarify the intent of the Board that 
ex officio members are non- voting members of the committee and whose number is not to be considered in 
determining the quorum of the committee; and to make minor typographical corrections. 

(Amends Section 1608.) 

1/25/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: In Support: Abdalla Megahed. Opposed: None. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 

ADJOURNMENT 

The meeting adjourned at 1:24 P.M. 



City and County of San Francisco 



Printed at 4:47 PM on 2/25/99 




City and County of £an Francisco 
Meeting ^linutes 
; Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 





Clerk: Gregoire Hobson 




Thursday, March 11, 1999 


1:00 PM 


City Hall, Room 263 


Members Present: 


Sue Bierman, Amos Brown, Michael Yaki. 





M 






Meeting Convened 

The meeting convened at 1:05 P.M. Supervisor Bierman was noted present at 1:08 P.M. 

CONSENT AGENDA 

All matters listed hereunder constitute a Consent Agenda, are considered to be routine and will be acted upon 
by a single roll call vote of the Committee. There will be no separate discussion of these items unless a 
member of the Committee so requests, in which event the matter shall be removed from the Consent Agenda 
and considered as a separate item. 

Severed from Consent Agenda 

990257 [Grant - Private] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept 
retroactively and expend a grant in the amount of $25,000 from the Open Society Institute, the Lindesmith 
Center, for the "Bridging the Gap" Conference and to enter into an agreement which does not include patent 
infringement indemnification and false claims clauses; providing for ratification of action previously taken. 
(Department of Public Health) 

2/1 1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Monique DeJohn, Budget Analyst; Barbara Garcia, Department of Public 
Health. In Support: None. Opposed: None. Amended. On Page 2, line 8 add a Further Resolved clause to 
read: The Controller should be urged to designate the position created under the grant as an "L " or Limited- 
Tenure position, which would terminate when the grant expires. 
AMENDED. 



990263 



) 



RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 
[Grant - State] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept 
retroactively and expend a grant in the amount of $5,000 from the San Diego State University Foundation for 
the Kids' Plates Bike Helmet Safety Program and to enter into an agreement which includes an indemnification 
clause and which does not include patent infringement indemnification and false claims clauses; providing for 
ratification of action previously taken. (Department of Public Health) 

2/16/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: None. Amended. In the title on Page 1, line 3 and Page 2, line 18 replace 
"to accept retroactively" with "to retroactively accept". 



AMENDED. 



DOCUMENTS DEPT. 
MAR 1 8 1999 



City and County of San Francisco 



PUBLIC LIBRARY 



Public Health aim Environment Committee 



Meeting Minutes 



March 11, 1999 



Resolution authorizing the Department of Public Health, Population Health and Prevention, to retroactively 
accept and expend a grant in the amount of $5,000 from the San Diego State University Foundation for the 
Kids' Plates Bike Helmet Safety Program and to enter into an agreement which includes an indemnification 
clause and which does not include patent infringement indemnification and false claims clauses; providing for 
ratification of action previously taken. (Department of Public Health) 

RECOMMENDED AS AMENDED., by the following vote: 

»Ayes: 3 - Bierman, Brown, Yaki 

REGULAR AGENDA 

990315 [Pacific Bell Giants Ball Park Environmental Impact] Supervisors Ammiano, Katz 

Hearing to consider the public health and environmental impact on the San Francisco Bay of 27,000 tons of 
exposed dirt suspected to contain higher than normal levels of toxins located on the construction site of the 
Pacific Bell Giants Ball Park on Third and King Streets. 

2/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Ammiano; Carol Bach, Environmental Health Director, Port of 
San Francisco; Dr. Bob Stephens, Deputy Director, California Department of Toxic Substances Control; Jack 
Bair, Vice President and General Counsel, S.F. Giants and China Basin Ballpark Company; Amanda Spencer, 
Principal Hydrologist, Geomatrix Consultants, Inc.; Dr. Rajiv Bhatia, Medical Director, Environmental 
Health Section, Department of Public Health; Vic Pal, Regional Water Quality Management Board; Chris 
Gray, Chief of Staff, representing Supervisor Haggerty's Office, Oakland ; Steve Bloom, Sierra Club; Amy 
Quirk, Alliance for Clean Water; Jennifer Clary, Alliance for Clean Water; Jeff Leibowitz; Mike Thomas, 
Community for a Better Environment; Charles White, Waste Management, Alameda County; Brian Bateman, 
Bay Area Air Management District; Ruth Gravanis, Alliance for a Clean Waterfront; Dennis Jordan. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Brown, Yaki 

Absent: 1 - Bierman 

981989 [Dioxin] Supervisors Newsom, Leno, 

Bierman 

Resolution establishing dioxin as a high priority for immediate action for the City and County of San 
Francisco in order to restore water, air and total environment quality. 

1 1/23/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 
1/25/99, TRANSFERRED to Public Health and Environment Committee. New committee structure. 
2/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
2/1/99, SUBSTITUTED. By Supervisor Newsom in Board. 

AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 

Heard in Committee. Speakers: Supervisor Newson; Honorable Nancy Nadel, City of Oakland, 
Councilmember; Francesco Vietor. Director, Department of Environment; Owen Webb; Virgil Thomas; David 
Keith; John Marshall, Chlorine Chemistry; Dr. Jay Murray, Murray and Associates; Karen Susag, 
Endometriosis Association; Jon Commack, Health Industry Manufacturers Association; Myrto Petreas, 
California Environmental Protection Agency; Greg Karais; Ray Tomkins; Michael Green; Brad Angel, 
Executive Director, Environmental Justice; Susan Chang; Hal Carroll; Dr. Brian Linsey; Henry Clark, 
Executive Director, West County Toxics Coalition; Keith Trecker, Baxter Healthcare, Sabina Perez, Center for 
Environmental Health; Davis Baltz, Commonweal: Tai Simconi, Center for Environmental Health. Amended. 
On Page 3, line 19 after "free" insert "where appropriate alternative products composed of non-chlorinated 
materials are available and where any substitution for a PVC product must provide a less toxic alternative 
with concern for the full public health implications of the replacement, including infectious considerations. " 
AMENDED. 



City and County of San Francisco 



Printed at 9:47 AM on 3/17/99 



Public Health and Environment Committee Meeting Minutes March 11, 1999 



RECOMMENDED AS AMENDED by the following vote: 
Ayes: 2 - Brown, Yaki 
Absent: 1 - Bierman 



ADJOURNMENT 



Meeting adjourned at 3:48 P.M. 



City and County of San Francisco 3 Printed at 9:4 7 AM on 3/1 7/99 



Public Library, Gov't Information Ctr.. 5 th Fir. 
Attn: Susan Horn, Dept. 41 



CITY AND COUNTY 




oFSANFRANcis|g®cuMENTS DEPT. 



• 



BOARD OF SUPERVISORS 



MAR 1 1999 



BUDGET ANALYST 



SAN FRANCISCO 
PUBLIC LIBRARY 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



March 9, 1999 
TO: ^Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: March 11, 1999 Public Health and Environment Committee Meeting 



Item 1 - File 99-0257 

Department: 

Item: 



Amount: 
Grant Period: 

Source of Funds: 

Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Pub He Health, 
Population Health and Prevention, to accept retroactively 
and expend a grant in the amount of $25,000 from the 
Open Society Institute, the Lindesmith Center, for the 
"Bridging the Gap" Conference and to enter into an 
Agreement which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken. 

$25,000 

Retroactive to December 21, 1998 and extending to 
December 20, 1999 (12 months) 

Open Society Institute, The Lindesmith Center (a non- 
profit organization) 

The proposed funds will be used to partially fund the 
conference titled, "Bridging the Gap: Integrating 
Traditional Substance Abuse and Harm Reduction 



Memo to Public Health and Environment Committee 

March 11, 1999 Public Health and Environment Committee Meeting 

Services." The conference will implement a central goal of 
the Treatment on Demand Planning Council: integrating 
harm reduction strategies into treatment services for 
substance abuse. The conference will include workshops 
and panel discussions with local, national and 
international experts in the field. Participants will 
include 400 substance abuse treatment providers and 
those who provide services to individuals who use drug 
and alcohol. The conference will take place on May 3 rd 
and 4 th , 1999, in San Francisco. 



Required Match: 



Indirect Costs: 



Budget: 



Comments: 



According to Mr. Jim Stillwell of DPH, the cost of the 
conference is estimated to be $35,000. Of this $35,000, 
$25,000 would be funded by the proposed grant. Of the 
additional $10,000 needed for the conference, $5,000 
would be paid by The Drug Policy Foundation, a non- 
profit foundation, directly to a contractor, San Francisco 
Suicide Prevention, Inc. for brochure printing and 
mailings. The remaining $5,000 would be funded by 
grants not yet identified. 

None 

The proposed resolution provides for indirect costs of 
$2,273, or 10 percent of direct costs of $22,727. 

Attachment I, provided by DPH, provides budget details 
for the proposed grant funds. 

i. The DPH has prepared a Disability Access Checklist, 
which is on file with the Clerk of the Board's Office. 



2. Attachment II, provided by DPH, is the Grant 
Application Information Form. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the contract include an 
indemnification of the City by The Linde smith Center for 
the infringement of patent rights; and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the contract include a paragraph reciting the 
false claim provision contained in Section 6.57(a) of the 
City's Administrative Code. According to Ms. Jean Fraser 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

March 11, 1999 Public Health and Environment Committee Meeting 

of the City Attorney's Office, these waivers are standard 
and pose minimal risk to the City. 

4. In addition, the proposed resolution authorizes the 
inclusion, in the contract, of an indemnification provision 
by which the City would indemnify The Lindesmith 
Center. Ms. Fraser states that this provision would 
require the City to defend and pay damages assessed 
against The Lindesmith Center arising out of negligence 
by the City in the performance of the proposed contract. 
Ms. Fraser advises that the risk of liability to the City of 
the proposed indemnification is minimal. 

5. The proposed resolution to accept and expend grant 
funds would be retroactive to December 21, 1998. Mr. 
Stillwell advises that, due to administrative delays, the 
proposed resolution is now being submitted for approval. 
According to Mr. Stillwell, no expenditures have been 
incurred against the proposed grant. 

6. As shown in Attachment I, the proposed grant would 
fund one half-time position for the conference. According 
to Mr. Stillwell, the new position would be a grant 
position and would be terminated when the one-year 
grant expires. The total personnel cost supported by the 
grant is $5,684. The Budget Analyst recommends that 
the proposed resolution be amended to designate the new 
position as a "G" or Grant position so that the position 
would expire upon the termination of the grant. 

Recommendations: 1. Amend the proposed resolution to designate the new 

position created under the grant as a "G" or Grant 
position. 

2. Approve the proposed resolution as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



JPM Z6 '99 G2 = 01Fri CSAS 415-^55-3529 



Attachment I 



Bridging the Cap; Integrating Traditional Substance 
Rbuse and Harm Reduction Seruices 



Conference Budget (12 Months) 

TLC Grant 

Conference Planning Assistant (.58 FTE) $5684 

Speaker Fees $2208 



EKPenses 



Facility Rental 

Equipment Rental 

Trauel 

Conference Uideo taping 



Subtotal 



Indirect costs at 18% 



$4898 
$2088 

$6543 
$23BB 



$22,727 
S 2.275 



Total Requested 



$25, BOB 



Attachment II 
File Number: Pa S e 1 ° f 2 

Grant Application Information Form 

• A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Population Health and Prevention; Community Health Services, Community 
Substance Abuse Services 

2. Contact Person: Barbara Garcia, Director, Community Substance Abuse Services 
Telephone: 255-3525 

3. Project Title: Conference: "Bridging the Gap: Integrating Traditional Substance Abuse and 
Harm Reduction Services" 

4. Grant Source Agency: Open Society Institute, The Lindesmith Center, New York City 

5 . Type of Funds: Federal Federal-State (Pass-Through) State Local X_Private 

6. Proposed (New /Continuation) Grant Project Summary: The conference will implement a 
central goal of the Treatment on Demand Planning Council: integrating harm reduction 
strategies into treatment services. It will take place on May 3-4, 1999, in San Francisco, 
featuring keynotes by Dr. Alan Marlatt and Dr. Pat Denning; workshops; and panel 
discussions with local, national, and international experts in the field. Participants will 
include 400 substance abuse treatment providers and those who provide services to 
individuals who use drugs and alcohol. 

7. Amount of Grant Funding Applied for. 525,000 

8. Maximum Funding Amount Available: 525,000 

9. Required Matching Funds? Yes: No: X Cash or In-kind: 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: .5 FTE 

1 1. If new positions are created, explain the disposition of employees once the grant ends: The 
part-time temporary position will end. 

12. Are indirect costs eligible costs for this grant? Yes: X_ No:_ 
If yes, please identify the amount of $ in indirect costs: $2,273 



2/3/99 



Attachment II 
^age 2 of 2 



13. Amount to be spent on contractual services: $0 

14. a.) Will contractual services be put out to bid?: Yes: No: Not applicable 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : Not applicable 

15. Is this likely to be a one-time or ongoing request for contracting out?: Not applicable 

16. Term of Grant: Start-Date: December 21, 1998 End-Date: December 20,1999 

17. Date Department Notified of Available Funds: 12/1/98 

18. Grant Application Due Date: 12/16/98 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): Maintain adequate financial records consistent with generally 
accepted accounting practices and to retain such records for at least four years after the 
conclusion of the grant period; To return to OSI any portion of the funds granted and interest 
thereon which are not used for the purpose of the grant as stated above. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

Signature ) 



2/3/99 2 

6 



Memo to Public Health and Environment Committee 

March 11, 1999 Public Health and Environment Committee Meeting 

Item 2 - File 99-0263 



Department: 
Item: 



Amount: 



Grant Period: 



Source of Funds: 



Description: 



Required Match: 
Indirect Costs: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention, to accept retroactively 
and expend a grant in the amount of $5,000 from the San 
Diego State University Foundation for The Kids' Plates 
Bike Helmet Safety Program, and to enter into an 
Agreement which includes an indemnification clause and 
which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken. 

$5,000 

September 1, 1998 through May 31, 1999 (9 months) 

San Diego State University (SDSU) Foundation 

The proposed resolution would authorize DPH to enter 
into an Agreement with SDSU Foundation in order to 
accept and expend grant funds in the amount of $5,000 
for The Kids' Plates Bike Helmet Safety Program. 

The program has two objectives: (1) to increase the 
number of parents who bring their children in for routine 
health check-ups at 14 San Francisco locations designated 
by DPH (See Attachment I), and (2) increase bicycle 
safety and training. According to Ms. Renee Cheney- 
Cohen, up to 600 bicycle helmets will be distributed to 
low-income parents enrolled with participating health 
care providers when they bring their children in for 
routine health check-ups. Also, community organizations 
whose goal is to educate and train children in bicycle 
safety will receive up to 200 helmets from DPH for 
distribution to children. Thus, a total of 800 bicycle 
helmets will be distributed through this program. 

None 

The funding agency does not allow for the inclusion of 
indirect costs. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

7 



Memo to Public Health and Environment Committee 

March 11, 1999 Public Health and Environment Committee Meeting 



Budget: 



Comments: 



Attachment II, provided by DPH, provides budget details 
for the proposed grant funds. 

1. The DPH has prepared a Disability Access Checklist, 
which is on file with the Clerk of the Board's Office. 



2. Attachment III, provided by DPH, includes the Grant 
Application Information Form. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the contract include an 
indemnification of the City by SDSU Foundation for the 
infringement of patent rights; and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the contract include a paragraph reciting the 
false claim provision contained in Section 6.57(a) of the 
City's Administrative Code. According to Ms. Jean Fraser 
of the City Attorney's Office, these waivers are standard 
and pose minimal risk to the City. 

4. In addition, the proposed resolution authorizes the 
inclusion, in the contract, of an indemnification provision 
by which the City would indemnify the SDSU Foundation. 
Ms. Fraser states that this provision would require the 
City to defend and pay damages assessed against SDSU 
Foundation arising out of negligence by the City in the 
performance of the proposed contract. Ms. Fraser advises 
that the risk of liability to the City is minimal. 

5. The proposed grant would be retroactive to September 

I, 1998. Ms. Renee Cheney-Cohen of DPH, advises that, 
due to several grant revisions by both the DPH and SDSU 
Foundation, the grant was not finalized until December 

II, 1998. According to Ms. Cheney-Cohen, expenditures 
have been incurred against the proposed grant. As such, 
the proposed resolution should be amended to provide for 
retroactivity with respect to both the acceptance and 
expenditure of grant funds. 

6. As noted above, the program involves the distribution 
of approximately 800 bicycle helmets. The proposed grant 
would fund the cost of 220 of the 800 bicycle helmets. 
According to Ms. Lucille Burlew-Lawler of DPH, the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

8 



Memo to Public Health and Environment Committee 

March 11, 1999 Public Health and Environment Committee Meeting 

remaining 580 helmets will be donated from various 
sources. 



Recommendation: 



Amend the proposed resolution to provide for retroactivity 
with respect to both the acceptance and expenditure of 
grant funds, and approve the proposed resolution, as 
amended. 




S- 



Harvey M. Rose 



fZ 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

9 



Mar-03-99 1 1 : OOA Rosemary Lee 



415-437-4650 



P.Ol 

Attachment I 



PROPOSED PROVIDERS FOR KIDS' PLATE GRANT 



1) Agoria, Enrique MD 

2) Chinese Community Hearth Care Association 

3) Graves, Bobbie MD 

4) Excelsior 

5) Mission Neighborhood Health Center 

6) Mt. Zion 

7) NEMS (Northeast Medical Services) 

8) Nguyenjin Huu MD 

9) Quock ,Winchell MD 
10)Ramer, Cyril MD 

11) Silver Avenue Health Center 

12) St. Luke's Pediatrics 

13)St. Mary's Pediatrics/includes St. Mary's School based 
14) UC Parnassus 



03/03/99 



Post-It " brand fax transmittal memo 7671 


A> of page* * 




Fnm 


C«. 


Co. 


Dept. 


Phone # 


Fax # ^ t* •*. '■>■'» 


Fax* 



10 



Attachment II 



BUDGET JUSTIFICATION (revised 11/98) 

Applicant Name: SF Department of Public Health; Child Health & Disability Prevention 
Program 

PERSONNEL COSTS: A ll staff will incorporate workfrom this program into their existing 
duties. Their salaries/benefits will be assumed by their respective agencies. 

OPERATING COSTS: 



PRINTING/PHOTO COPIES 

ITEM 

1,000 incentive letters to children and their families 

75 Laminated Provider modules for patient education 

5,000 (total) helmet safety information for parents and children in 

English, Chinese, Vietnamese and Spanish 

600 Follow up survey to families receiving helmets from medical 

provider 

SUBTOTAL 

SUPPLIES 

20 Binders/flip charts for patient education module 

Misc. training supplies (name tags, folders, markers, newsprint 

pads, refreshments) 

Portable bike and helmet safety exhibit 

SUBTOTAL 

POSTAGE/COMMUNICATIONS 

PROMOTIONAL ITEMS/EDUCATIONAL MATERIALS 

Water bottles 

Bike helmets (220) 

TOTAL 



COST 

$100.00 
$150.00 

$300.00 
$150.00 

S700.00 

$150.00 

$200.00 
$300.00 
S650.00 

$600.00 

$1,500 
$1,550 
S5,000 



Dept. 



Fax* 



4-fTjr- X^S^ 



Post-It™ brand fax transmittal memo 7671 # of pages ► JL - 



Phone # 



r&^tlg? 



Fax* 



11 



Attachment III 
Page 1 of 2 
File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Public Health; Population Health and Prevention; Community Health Services. 

2. Contact Person: Renee Cheney-Cohen Telephone: 554-9958 

3. Project Title: Kids' Plates: Bike Helmet Safety 

4. Grant Source Agency: San Diego State University Foundation 

5. Type of Funds: Federal Federal-State (Pass-Through) X_ State Local Private 

6. Proposed (New/ Continuation) Grant Project Summary: Target group is CHDP eligible youth 
5 to 12 years old. Working in collaboration with Blue Cross (Medi-Cal) and SFHP 
managed care plans, CHDP will distribute properly fitted helmets and instruction about safe 
bicycling to low-income boys and girls through CHDP and other community health provider 
agencies as an incentive to come in for well child check-ups. Training will strengthen 
individual knowledge and skills of parents and children, health care providers and 
community agency staff. The project will foster networking and collaboration in the health 
care system and in the community. In total about 800 helmets will be fitted and distributed. 

7. Amount of Grant Funding Applied for: $5,000 

8. Maximum Funding Amount Available: 55,000 

9. Required Matching Funds? Yes: No: X Cash or In-kind: 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: None 

1 1. If new positions are created, explain the disposition of employees once the grant ends? 

12. Are indirect costs eligible costs for this grant? Yes: No: X 

If yes, please identify the amount of $ in indirect costs: 

13. Amount to be spent on contractual services: 



1/22/99 1 

12 



Attachment III 
^age 2 of 2 



14. a.) Will contractual services be put out to bid?: Yes: .No: N/A 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : N/A 

15. Is this likely to be a one-time or ongoing request for contracting out?: N/A 

16. Term of Grant: Start-Date: 9/1/98 End-Date: 5/31/99 

17. Date Department Notified of Available Funds: July 1, 1998 

18. Grant Application Due Date? July 31, 1998 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): Grantee is responsible for the proper expenditure of funds-provided 
by the Grantor. The Grantee must keep adequate financial records that allow for readily 
accessible monitoring of the use of grant funds. The Grantee shall return to the Grantor any 
unexpended funds granted to it by the Grantor, at the end of the grant. Revenues" 'Or profit 
generated via implementation of the project must be accounted for and used to support project 
activities. Local travel and per diem at established rates can be reimbursed. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

/f)MMt c 

Signature 



1/22/99 2 

13 



) 




City and County of^an Francisco 

Meeting Minutes 

^Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday, March 25, 1999 

*. 



1:00 PM 



City Hall, Room 263 



O.W 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



DOCUMEN 1 8 UbH L 

MAR 3 1 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 

990435 [Grant - Private) 

Resolution authorizing the Department of Public Health, Community Health Network, Maxine Hall Health 
Center, to accept retroactively and expend a grant in the amount of $25,000 from the Family Violence 
Prevention Fund for the Domestic Violence Prevention Project and to enter into an agreement which does not 
include patent infringement indemnification and false claims clauses. (Department of Public Health) 

3/3/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

3/19/99, CLERICAL CORRECTION. Clerically corrected by Clerk. In the title, Page 1, line 6 replace "does 
does" with "does". 

Heard in Committee. Speakers: None. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 
990479 [Grant -State] 

Resolution authorizing the Department of Human Services to accept and expend a grant in the amount of 
$231,565 from the California State Department of Health Services for a targeted Medi-Cal outreach project. 
(Department of Human Services) 

3/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: None. Amended. On line 2 before "authorizing" insert "retroactively". On 
line 1 1 after "Supervisors " insert "retroactively ". On line 1 7 add a Further Resolved clause to read: "The 
Controller should be urged to designate the positions created under the grant as a "L " or Limited-Tenure 
position, which would terminate when the grant expires. " 
AMENDED. 

Resolution retroactively authorizing the Department of Human Services to accept and expend a grant in the 
amount of $231,565 from the California State Department of Health Services for a targeted Medi-Cal outreach 
project. (Department of Human Services) 

RECOMMENDED AS AMENDED., by the foHowing vote: 
Ayes: 3 - Bierman, Brown, Yaki 



<?h 



Meeting Convened 

The meeting convened at 1:06 P.M. 

REGULAR AGENDA 



City and County of San Francisco 



Printed at 10:29 AM on 3/29/99 



Public Health and Environment Committee Meeting Minutes March 25, 1999 

990215 [Lands Legacy Initiative] Supervisors Bierman, Newsom, 

Yaki, Katz /f 

Resolution supporting President Clinton's "Lands Legacy Initiative" and urging Congress to pass. 

2/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Jay Watson, Director, Wilderness Society. Supervisors Yaki and Katz 
requested to be added as co-sponsors. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 
990354 [Women's Health Services] Supervisor Katz 

Hearing to consider the availability of women's health services. 

2/22/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Leslie Katz; Anne Kronenberg, Department of Public Health: 
Kate Monico Klein, Coordinator Women Services, Department of Public Health; Belma Gonzales, Past 
Director of the Women's Center; Sharon Johnson, Chief of Staff , Senator John Burton's Office; Kim 
Hildebrant, Director, New Women's Clinic; Natalie Coombs, 16 year old student; Erica Batchler, Lyon 
Martin Women 's Health Services; Kate McNichols; Judy Geer; Brenda Johnson; Eloise Madaheim; Jocelyn 
Walker; Nancy Cole; Jessica Chandler. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, 3rown, Yaki 

ADJOURNMENT 

The meeting adjourned at 2:13 P.M. 



C 



City and County of San Francisco 2 Printed at 10:29 AM on 3/29/99 






Public Library, Gov't Information Ctr.. 5 th Fir. 
Attn: Susan Horn, Dept. 41 



CITY AND COUNTY 




of^anfrancisc9ocUMENTS DEPT. 

MAR 2 5 1999 



BOARD OF SUPERVISORS 

SAN FRANCISCO 
PUBLIC LIBRARY 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



BUDGET ANALYST 



March 23, 1999 
TO: > Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: JVtarch 25, 1999 Public Health and Environment Committee Meeting 



Item 1 - File 99-0435 

Department: 

Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 

Project: 

Description: 



Department of Public Health 

Resolution authorizing the Department of Pubic Health, 
Community Health Network - Maxine Hall Health Center 
to accept retroactively and expend grant funds in the 
amount of $25,000 from the Family Violence Prevention 
Fund for the Domestic Violence Prevention Project; and to 
enter into an agreement which does not include patent 
infringement indemnification and false claims clauses. 

$25,000 

January 1, 1999 through December 31, 2000 (24 months) 
See Comment No. 1. 

Family Violence Prevention Fund (See Description) 

Domestic Violence Prevention Project 

The Family Violence Prevention Fund (the Fund) is a 
non-profit agency that addresses domestic violence on an 
institutional level. The Fund is not a foundation and does 



Memo to the Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 

not provide direct services. Rather, the Fund works to 
educate, train and support service providers that assist 
domestic violence victims, such as the DPH Maxine Hall 
Health Center. 



Budget: 

Required Match: 
Indirect Costs: 



Approval of the proposed resolution would authorize the 
Department of Public Health - Maxine Hall Health 
Center, located at 1301 Pierce Street, to accept 
retroactively and expend grant funds in the amount of 
$25,000 from the Fund and implement the DPH Domestic 
Violence Prevention Project. The Maxine Hall Health 
Center would design comprehensive domestic violence 
prevention strategies which involve primary prevention 
efforts designed to change the community's attitude and 
behavior about domestic violence, and secondary 
prevention programs which include screening, diagnosis, 
intervention, and treatment of individual clients. 

Under this grant, the Maxine Hall Health Center is 
expected to develop a task force to oversee 
implementation of the project, participate in clinical 
trainings, participate in a Statewide leadership summit, 
and report on activities every six months. 

Attachment I, provided by the DPH, contains the budget 
details for the proposed grant funds in the amount of 
$25,000. 

None. 

None. 



Comment: 



1. Ms. Marcellina Ogbu of the Maxine Hall Health 
Center explains that although the beginning of the grant 
period is January 1, 1999, DPH has not expended any of 
the subject grant funds. According to Ms. Ogbu, the 
proposed resolution provides for retroactive authorization 
to accept the funds because DPH was not notified that it 
had been awarded the grant until December 21, 1998, not 
allowing DPH enough time to obtain Board of Supervisors 
approval prior to the commencement of the grant period 
on January 1, 1999. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to the Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 

2. Ms. Sheila Kerr of DPH states that the personnel 
expenses are for the staff physician's time, billed to DPH 
at $50 per hour. DPH anticipates 265 hours of the staff 
physician's time over the two-year period, for a total of 
$13,250 in salary expenses. Ms. Kerr also reports that 
the consultant services, budgeted for $2,500 over the two- 
year period, would be for a domestic violence education 
and training specialist to assist with the development of 
an outreach plan and education materials. 

3. According to Ms. Kerr, the Family Violence Prevention 
Fund, the grantor, does allow for the inclusion of indirect 
costs, but DPH has requested that the indirect costs be 
waived because these costs would reduce the total amount 
of funds available under the $25,000 grant. 

4. In addition to the proposed $25,000 cash grant, the 
Fund would provide to the Maxine Hall Health Center 
with public education materials and reimbursement for 
lodging and travel expenses to trainings and conferences. 

5. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the contract include an 
indemnification of the City for the infringement of patent 
rights; and (2) the requirement contained in Section 
6.57(c) of the City's Administrative Code that the contract 
include a paragraph reciting the false claim provision 
contained in Section 6.75(a) of the City's Administrative 
Code. According to Ms. Jean Fraser of the City Attorney's 
Office, these waivers are standard and pose minimal risk 
to the City. In addition, the proposed resolution 
authorizes the inclusion in the grant agreement of an 
indemnification provision by which the City would 
indemnify the Family Violence Prevention Fund. Ms. 
Fraser states that this provision would require the City to 
defend and pay damages assessed against the Fund 
arising out of negligence by the City in the performance of 
the proposed contract. Ms. Fraser advises that the City 
has entered into numerous contracts which include 
similar indemnification provisions and waivers and that 
the risk of liability to the City is minimal. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to the Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 

6. Attachment II, provided by DPH, is a summary of the 
Grant Application Information Form, as prepared by 
Community Health Network and the DPH. 

7. DPH has prepared a Disability Access Checklist for 
the proposed grant funds, which is on file with the Clerk 
of the Board of Supervisors. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Attachment I 



Preliminary Budget 



for the Domestic Violence Prevention Project 
Maxine Hall Health Center 
1301 Pierce Street, San Francisco, CA 94115 



line item 



Stipends for participation 

(up to $200.00 depending on level of service provided to 
the project * 



Personnel Expense 

(estimated) 



salary 
25% fringe 



Consultant services 
JLi5S te.ni rate of $ 10Q,nn/hnnr 

TOTALS 






£6,625 
$1,625 



$1,250 



$12,500 



$6,625 
$1,625 



$1,250 



Jan. --Dec. 99 jJan r Dec. 00 j TOTAL 
$3,000 ! $3,000 I $6,000 



! $13,250 
! $ 3,250 



I $ 2,500 



$12,500 | $25,000 



Attachment II 
Page 1 of 2 

File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Community Health Network Department of Public Health 

2. Contact Person: Sheila P. Kerr Telephone: 415-292-1353 

Acting Center Manager 

3. Project Title: Domestic Violence Prevention Project 

4. Grant Source Agency: Family Violence Prevention Fund 

5. Type of Funds: Federal Federal- State (Pass-Through) State Local ^ Private 

6. Proposed (New/Continuation) Grant Project Summary: 
Improve Community Health Center response to domestic violence in our community i 
implement comprehensive domestic violence prevention stategies for the 
population we serve. The project will include the implementation of broad- 
based primary prevention efforts designed to change attitudes and behaviors 
concerning domestic violence, as well as secondary prevention programs that 
include screening, diagnosis, and treatment for individual clients in 
clinical settings. 



7. Amount of Grant Funding Applied for: $25,000.00 

8. Maximum Funding Amount Available: $25,000.00 over 2 year period 

9. Required Matching Funds? Yes: No: x Cash or In-kind: 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 



7/27/98 



ttachment II 

age Z of 2 



1 0. Number of new positions created and funded: none 

11. If new positions are created, explain the disposition of employees once the grant ends? 



12. Are indirect costs eligible costs for this grant? Yes: No: X 

If yes, please identify the amount of $ in indirect costs: 

13. Amount to be spent on contractual services: $25,000.00 

14. a.) Will contractual services be put out to bid?: Yes: No:X 

b.) If so, will contract services help to further the goals of the department's MBEAVBE 
requirements? : 

1 5. Is this likely to be a one-time or ongoing request for contracting out?: 

16. Term of Grant: Start-Date: 1/1/99 End-Date: 12/31/GO 

17. Date Department Notified of Available Funds: 12-21-98 



1 S. Grant Application Due Date: Not applicable. 



1 9. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): 
selected from RFP from Family Violence Prevention Fund 
Three payments totaling $25,000 will be paid over a 2 year period starting 1/99. 

Travel and housing costs for the attendance of meetings, the training conference, 
and Statewide Leadership Summit will be reimbursed. 



20. Department Head Approval: Mitchell Katz, M.D., Director of Health 



Signature 



7/27/98 



Memo to Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-0479 

Department: 

Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 

Project: 

Description: 



Department of Human Services (DHS) 

Resolution authorizing the Department of Human 
Services to accept and expend a grant in the amount of 
$231,565 from the California State Department of Health 
Services for a targeted Medi-Cal Outreach Project. 

$231,565 

January 1, 1999 through September 30, 1999 (nine 
months). See Comment No. 1. 

California State Department of Health Services 

Medi-Cal Outreach Project 

The proposed grant would fund five community-based 
organizations to provide targeted outreach to increase the 
Medi-Cal enrollment during the period of January 1, 1999 
through September 30, 1999. These five agencies are: 
San Francisco Neighborhood Legal Assistance 
Foundation, California Association of Health, Education, 
Employment and Dignity, Inc. (CAHEED), Mission 
Neighborhood Health Center, NICOS Chinese Health 
Coalition, and Health Access Foundation. 

Under the proposed resolution, two of the five agencies, 
San Francisco Neighborhood Legal Assistance Foundation 
and Health Access Foundation, would provide various 
technical services, including clarifying eligibility 
requirements, developing culturally sensitive and 
language-appropriate informational materials, and 
conducting trainings on health policy. The other three 
agencies, NICOS, Mission Neighborhood, and CAHEED 
would conduct the outreach by targeting low-income 
individuals who may be Medi-Cal eligible in the 
Chinatown and Tenderloin, Mission, and Bayview 
Hunters Point areas, respectively. The strategy would be 
carried out at schools, community-based agencies, child 
care sites, places of worship, and small businesses. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



8 



Memo to Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 



Budget: 



A summary budget for the proposed project costs of 
$257,295, including the proposed grant funds in the 
amount of $231,565 for the nine-month period retroactive 
from January 1, 1999 is as follows: 



Category 
Salary 

Fringe Benefits 
Subtotal 

Professional Services 
Equipment and Supplies 
Internet Web Site 
Indirect Cost 
Total 



Amount 

$73,592 

10,729 

$84,321 

$120,000 

26,318 

3,500 

23,156 

$257,295 



Attachment I, provided by DHS, details the project 
staffing and proposed budget for the Medi-Cal Outreach 
Project. Mr. Pauson of DHS reports that the balance of 
the proposed project costs in the amount of $25,730 would 
be from in-kind contributions previously budgeted in the 
FY 1998-99 DHS budget. 

As noted above, the Medi-Cal Outreach Project would be 
implemented by five community-based organizations. 
The amount of proposed project funds allocated to each 
agency is listed below: 





Aerencv 


Amount 




Health Access Foundation 


$23,000 




SF Neighborhood Legal Assist. Found. 


19,000 




NICOS Chinese Health Coalition 


30,000 




Mission Neighborhood Health Center 


30,000 




CAHEED 


30.000 




Total 


$132,000 


Required Match: 


None. 




Indirect Costs: 


$23,156 (10% of the proposed grant) 





Comment: 



1. According to Mr. Yun of DHS, funds have already been 
accepted and expended for the Medi-Cal Outreach Project. 
Mr. Yun explains that DHS was notified on December 10, 
1998 that the proposed grant funds of $231,565 were 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 

awarded, not allowing DHS enough time to obtain Board 
of Supervisors approval to accept and expend the 
proposed grant prior to the commencement of the grant 
period on January 1, 1999. Therefore, the resolution 
should be amended to provide for retroactivity. 

2. Mr. Yun reports that the five community-based 
organizations were chosen through meetings with the 
Medi-Cal Program and DHS. According to Mr. Yun, the 
agencies were selected because of their past outreach 
experience and current outreach efforts in the targeted 
neighborhoods. Mr. Yun also advises that the two 
agencies selected to provide technical assistance were 
chosen because of their expertise in analyzing health care 
policy and developing educational materials. 

3. The legislation does not require that the grant-funded 
positions be "L" or Limited-Tenure positions. Mr. Yun 
states that it is the intent of DHS to make the grant- 
funded City employees Limited-Tenure positions. 

4. Attachment II, provided by DHS, is the Grant 
Application Information Form. 

5. DHS has prepared a Disability Access Checklist for 
the proposed grant, which is on file with the Clerk of the 
Board of Supervisors. 

Recommendation: 1. In accordance with Comment No. 1, amend this 

resolution to authorize DHS to retroactively accept and 
expend the proposed grant funds. 

2. In accordance with Comment No. 3, amend the 
proposed resolution to require that all new positions 
created under the grant be "L" or Limited-Tenure 
positions in order that these positions do not 
automatically continue to be funded when the grant 
expires. 

3. Approve the proposed resolution as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

March 25, 1999 Public Health and Environment Committee Meeting 




'A 
Harvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



SAN FRANCISCO'S MED1-CAL OUTREACH PROJECT 

PROPOSED BUDGET 

January 1999 -June 1999 



ATTACHMENT I 
page 1 of 4 



Grant In-Kind 

Request Contrib. 



Total 
Allocation 



RSONNEL 

Project Coordinator- Community Outreach 
(33% FTE for 6 months) 

Peer Advocates (2) - Within SFDHS 
($10/hrfor6 months) 

Medi-Cal Program Manager (1) 
(.08 FTE @ $26.69/hr for 6 months) 

Program Liaison - Supervisor for Peer Advocates 
(.5 FTE @ $26.69/hr for 6 months) 

Health Access Staffing 
Director (2.2% FTE) 
Office Administrator (3.2% FTE) 

Fringe Benefits 

Sub-Total Personnel 



$13,400 



$13,400 



$19,296 




$19,296 


$2,060 




$2,060 


$12,875 




$12,875 




$1,005 
$570 


$1,005 
$670 


$7,188 




$7,188 


$54,820 


$7,675 


556,495 



HER PROFESSIONAL SERVICES - OUTREACH 

Outreach Contract- NICOS Chinese 
Health Coalition 

Outreach Contract - CAHEED 

Outreach Contact - Mission Neighborhood 
Health Center 

Material Development/Translation Contract 
San Francisco Neighborhood Legal 
Assistance Fund 

Media/Public Service Announcement 

Development of Outreach Strategies 
San Francisco Health Plan 

Sub-Total Other Professional Services 



$20,100 

$20,100 
$20,100 

$15,200 



$20,100 

$20,100 
$20,100 

$15,200 



- $2,010 $2,010 

$2,010 $2,010 

$77,5*0 $2,010 $79,520 



12 



ATTACHMENT! I 



OPERATIONS 

Computer Equipment (SFDHS) 

Materials and Office Supplies (SFDHS) 

Postage (SFDHS) 

Printing & Reproduction of Flyers and Brochures (SFDHS) 

Telephone (SFDHS) 

Sub-Total Operations 

INTERNET WEB SITE (SFDHS) 

CITY AND COUNTY INDIRECT RATE 

Total Proposed Budget (Jan. 1999 - June 1999) 





page 


2 of 4 


Grant In-Kind Total 


Request Contrib. Allocation 




$3,000 


$3,000 




$1,005 


$1,005 




$1,541 


$1,541 


$4,326 


$1,809 


$6,135 




$3,839 


$3,839 


$4,326 


. $11,194 


$15,520 


$2,345 




$2,345 


$15,515 




$15,515 



$154,516 $14,879 $169,395 



13 



SAN FRANCISCO'S MED1-CAL OUTREACH PROJECT 

PROPOSED BUDGET 

July 1999 - September 1999 



ATTACHMENT I 
. page 3 of 4 



Grant In-Kind Total 

Request Contrib. Allocation 



RSONNEL 

Project Coordinator - Community Outreach 
(33% FTE for 3 months) 

Peer Advocates (2) - Within SFDHS 
($10/hr for 3 months) 

Medi-Cal Program Manager (1) 
(.08 FTE @ $26.69/hr for 3 months) 

Program Liaison - Supervisor for Peer Advocates 
(.5 FTE @ 526.69/hr for 3 months) 

Health Access Staffing 
Director (2.2% FTE) 
Office Administrator (3.2% FTE) 

Fringe Benefits 

Sub-Total Personnel 



$6,600 




$6,600 


$9,504 




$9,504 


$1,015 




$1,015 


$6,342 




$6,342 




$495 


$495 




$330 . 


$330 


$3,541 




$3,541 


$27,001 


$825 


$27,826 



THER PROFESSIONAL SERVICES - OUTREACH 

Outreach Contract - NICOS Chinese 
Health Coalition 

Outreach Contract - CAHEED 

Outreach Contact - Mission Neighborhood 
Health Center 

Material Development/Translation Contract 
San Francisco Neighborhood Legal 
Assistance Fund 

Media/Public Service Announcement 

Development of Outreach Strategies 
San Francisco Health Plan 

Sub-Total Other Professional Services 



$9,900 

$9,900 
$9,900 



$9,900 

$9,900 
$9,900 



$3,800 $5,000 $8,800 

$990 . $990 

$990 $990 

$34,490 $5,990 $40,480 



14 



' ATTACHMENT I 

Grant In-Kind? ag€ TotaI° f 4 

Request Contrib. Allocation 



OPERATIONS 
Audit 

Materials and Office Supplies (SFDHS) 
Postage (SFDHS) 

Printing & Reproduction of Flyers and Brochures (SFDHS) 
Telephone (SFDHS) 

Sub-Total Operations 

NTERNET WEB SITE (SFDHS) 

3ITY AND COUNTY INDIRECT RATE 

Total Proposed Budget (July 1999 - Sept. 1999) 



$4,631 
$2,131 


$495 

$759 

$891 

$1,891 


$4,631 

$495 

$759 

$3,022 

$1,891 


$6,762 


$4,036 


$10,798 


$1,155 




$1,155 


$7,641 




$7,641 


$77,049 


$10,851 


$87,900 



15 



ATTACHMENT I I 
page 1 of 2 



File Number: 






Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Human Services 



2. Contact Person: Pauson Yun Telephone: (415)557-6523 

3. Project Title: Targeted Medi-Cal Outreach Program 



4. Grant Source Agency: California State Department of Health Services 

5. Type of Fund: Fed __ Fed-State (Pass-through) _x_ State Local Private 

6. Proposed Grant Project Summary: The project will fund five Community Based 

Organizations for targeted outreach to eligible families to enroll 



in the Medi-Cal program. 



7. Amount of Grant Funding Applied for: $231,565.00 



8. Maximum Funding Amount Available: $231,565.00 

9. Required Matching Funds? $0 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 



1 0. Number of new positions created and funded: 



11. If new positions are created, explain the disposition of employees once the grant ends? 
If possible, employees will be integrated into other existing programs within the 

organization. 



16 



ATTACHMENT II 
page 2 of 2 



12. Are indirect costs eligible costs for this grant? No 



13. Amount to be spent on contractual services: $132,000 



14. a.) Will Contracted Services be put out to bid? No 



b.) If so, will contract services help to further the goals of the Department's MBE/WBE 
requirements? 

15. Is this likely to be a one-time or ongoing request for contracting out? One-time 

16. Term of Grant: 1/1/99 - 9/30/99 

17. Date Department Notified of Available Funds: July 1998 

1 8. Grant Application Due Date: November 1998 



19. Grant Funding Guidelines and Options (selected from RFP, Grant Announcement or 
appropriations legislation): Selected from Request for Applications. 



20. Department Head Approval: Will Lightbourne Executive Director 

(Name) % . (Title) 

(Signature) 



17 



'eft - 




City and County of£an Francisco 

Meeting JVIinutes 

JPublic Health and Environment Committee 

Members: Supervisors Sue Bierman, Tom Ammiano and Mark Leno 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Tuesday, April 13, 1999 



10:00 AM 
Rescheduled Meeting 



City Hall, Legislative Chamber 



Members Present: Sue Bierman, Tom Ammiano. 
Members Absent: Mark Leno. 



DOCUMENTS DEPT. 
APR 1 6 199.Q. 



Meeting Convened 



SAN FRANCISCO 
PUBLIC LIBRARY 



The meeting convened at 10:06 A.M. 

President Tom Ammiano appointed himself and Supervisor Mark Leno to serve on the Committee for today's 

meeting only. 

Supervisor Mark Leno noted present at 10:28 A.M. 



REGULAR AGENDA 



990532 [Contract, DPH - University of Caiifornia (Berkeley)] 

Resolution authorizing the Department of Public Health, Community Health Services, Community Mental 
Health Services, to enter into an agreement in the amount of $7,844 with the University of California 
(Berkeley), the primary contractor, to provide data and consultation for a study of the cultural appropriateness 
of the instruments and approaches being used by community mental health services to measure performance 
indicators, client outcomes, and satisfaction, which does not include patent infringement indemnification and 
false claims clauses; waiving indirect costs. (Department of Public Health) 
3/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Male Doctor, Community Mental Health, Department of Public Health. 
Amended. On Page 1, line 3 replace "an agreement" to read "a subcontract agreement". On Page 2, line 4, 
replace "an agreement" to read "a subcontract agreement". 
AMENDED. 

Resolution authorizing the Department of Public Health, Community Health Services, Community Mental 
Health Services, to enter into a subcontract agreement in the amount of $7,844 with the University of 
California (Berkeley), the primary contractor, to provide data and consultation for a study of the cultural 
appropriateness of the instruments and approaches being used by community mental health services to 
measure performance indicators, client outcomes, and satisfaction, which does not include patent infringement 
indemnification and false claims clauses; waiving indirect costs. (Department of Public Health) 
RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Bierman, Ammiano 

Absent: 1 - Leno 



City and County of San Francisco 



Printed at 10:30 AM on 4/14/99 



Public Health and Environment Committee Meeting Minutes April 13, 1999 



990211 [Commission on Animal Control and Welfare) 
Supervisors Ammiano, Bierman 

Ordinance amending Health Code Section 41.1 (Commission of Animal Control and Welfare) to designate that 
only members appointed by the Board of Supervisors shall constitute voting members. 

(Amends Section 41.1.) 

2/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: None. Amended. On Page 2, line 6 after "representative" insert " the 
Director of the Department of Public Health or his or her designated representative, the Chief of Police or his 
or her designated representative, and the General Manager of the Recreation and Park Department or his or 
her designated representative who"; replace "Department's" with "Departments'"; line 7 delete "a" and 
replace "member" with "members". 
AMENDED. 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Bierman, Ammiano 
Absent: 1 - Leno 



990411 [Alternatives to Institutional Care for Seniors/People with Disabilities] 
Supervisors Bierman, Leno, Brown, Ammiano, Becerril 

Resolution supporting the development of alternatives to institutional care for seniors and people with 

disabilities. 

3/1/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee. 

3/25/99, TRANSFERRED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Anthony Wagner, Executive Administrator, Laguna Honda Hospital; David 
Ishida, Executive Director, Commission on the Aging; Darrell Higashi, Acting Director, Mayor's Office of 
Housing; Karen Sherr, Planning for Elders in the Central City-Introduction; Luis Calderon, Consumers in 
Action for Personal Assistance; Abby Kovolsky, Jewish Family and Children's Services; Walter DeVaughn; 
Caroline Washington, Bayview Hunters Point Network for Elders; Anthony Nacco, Department of Human 
Services; Vera Haile, Planning for Elders in the Central City; Ricardo Leon, Senior Action Network; Peggy 
Cosier; Ruth Miller; Benson Nadell, S.F. Long Term Care Ombudsman Program; Taffeta Lassen, Healthcare 
Workers Local 250; Elizabeth Boardman; North and South of Market Adult Day Health, Mitch Jesserrich; 
Lisa Hamburger, Corporation for Supportive Housing; Marie Jobling, Planning for Elders in the Central 
City; Bruce Albert; Ressa Farley; Donna Calame, IHSS Public Authority. Amended. On Page 2, line 7 
replace "2010 a projected 7000 people will need supportive housing" to read "2020 San Francisco will need 
6,500 more supportive housing units". 
AMENDED. 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Bierman, Leno 
Absent: 1 - Ammiano 



ADJOURNMENT 



The meeting adjourned at 1 1:46 A.M. 



City and County of San Francisco 2 Printed at 10:30 AM on 4/14M9 



■th 



Public Library,Gov't Info. Ctr., 5" Fir. 
Attn: Susan Horn 



CITY AND COUNTY 




OF SAN FRANCISCO 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



DOCUMENTS DEP1 

APR 1 6 1999 j 

SAN FRANCISCO 
PUBLIC LIBRARY 



April 9, 1999 
TO: ^Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: April 13, 1999 Public Health and Environment Committee Meeting 

Item 1- File 99-0532 



Department: 
Item: 



Contract Amount: 



Source of Funds: 



Contract Period: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Community Mental Health Services to enter into a 
subcontract in the amount of $7,844 with the University 
of California at Berkeley, the primary contractor, to 
provide data and consultation for a study of the cultural 
appropriateness of the instruments and approaches being 
used by Community Mental Health Services to measure 
performance indicators, and client outcomes and 
satisfaction, which does not include patent infringement 
indemnification and false claims clauses; waiving indirect 
costs. 

$7,844 

U.S. Department of Health and Human Services (DHHS) 

July 1, 1998 through June 30, 1999 (12 months) 
See Comment No. 1. 

The University of California at Berkeley (the 
"University") received funds from the U.S. Department of 



Memo to Public Health and Environment Committee 

April 13, 1999 Public Health and Environment Committee Meeting 

Health and Human Services for a project entitled "Center 
on Financing of Care for the Severely Mentally 111." This 
project seeks to conduct a variety of multidisciplinary 
studies on the organization and financing of mental 
health services. The Regents of the University of 
California at Berkeley, as primary contractor for the 
DHHS grant, requested that the City's DPH, as 
subcontractor to the University, provide consultation and 
data on performance indicators, client outcomes, and 
client satisfaction to the University's Center for Mental 
Health Services Research (the "Center"). The Center 
would use the information provided by DPH to evaluate 
the cultural appropriateness of the instruments (client 
self-report questionnaires) and methodology DPH uses to 
measure Community Mental Health Services' (CMHS) 
performance. DPH would also provide consultation and 
technical assistance to the Center on other projects which 
involve public mental health service delivery. 

On February 2, 1998, the Board of Supervisors approved 
this request and authorized the Director of the 
Department of Public Health to enter into a subcontract 
in the amount of $11,359 with the Regents of the 
University of California at Berkeley (File No. 172-97-82). 
The contract period of this agreement expired on June 30, 
1998. The proposed resolution would authorize DPH to 
provide the data and consultation for an additional year 
through June 30, 1999, for an added $7,844 from the 
University for the personnel costs and indirect costs 
necessary to provide these services. Additionally, the 
proposed resolution would authorize the Director of the 
DPH, without approval by the Board of Supervisors, to 
enter into similar agreements with the University if the 
contract recurs or is renewed. 

Budget: According to Mr. Bill McConnell of DPH, the contract 

amount of $7,844 was based on an estimated total of 209 
hours at the rate of $35.78 per hour over the 12-month 
period for one DPH Research Psychologist to collect the 
utilization data and provide consultation as follows: 

Class No. Position Title FTE Total 

2575 Research Psychologist 0.10 $7,470 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

April 13, 1999 Public Health and Environment Committee Meeting 

In addition to the $7,470 for the 0.10 FTE 2575 Research 
Psychologist, the Regents of the University of California 
would pay for $374 in indirect costs for a total of $7,844. 
According to Mr. McConnell, DPH would not spend more 
than budgeted 209 hours on the project. Mr. McConnell 
further advises that in addition to compensation for 
personnel and indirect costs, the City will receive free 
consultation from national and international mental 
health experts during the one-year period of the project in 
exchange for participation in the project. 

Comments: 1. As previously noted, the contract period is for 12 

months beginning on July 1, 1998 and concluding on June 
30, 1999. Since the contract period has commenced and 
75 percent, or 156.75 hours of the total 209 hours 
allocated for the project during this contract period has 
already been incurred, the proposed resolution should be 
amended to provide for retroactivity to July 1, 1998. 

2. As noted in the Description, the Regents of the 
University of California at Berkeley, is the primary 
contractor for the DHHS grant which is the source of 
funds for this proposed agreement, and DPH is the 
subcontractor. The body of the proposed resolution 
stipulates that the agreement is a subcontract in the 
amount of $7,844 with the University of California at 
Berkeley, but the title does not state that the agreement 
is, in fact, a subcontract. Therefore, the title of the 
proposed resolution should be amended to specifically 
state that the agreement is a subcontract. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the contract include an 
indemnification of the City for the infringement of patent 
rights; and (2) the requirement contained in Section 
6.57(c) of the City's Administrative Code that the contract 
include a paragraph reciting the false claim provision 
contained in Section 6.75(a) of the City's Administrative 
Code. According to Ms. Jean Fraser of the City Attorney's 
Office, these waivers are standard and pose minimal risk 
to the City. In addition, the proposed resolution 
authorizes the inclusion in the grant agreement of an 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

April 13, 1999 Public Health and Environment Committee Meeting 

indemnification provision by which the City would 
indemnify the University of California at Berkeley. Ms. 
Fraser states that this provision would require the City to 
defend and pay damages assessed against the University 
arising out of negligence by the City in the performance of 
the proposed contract. Ms. Fraser advises that the City 
has entered into numerous contracts which include 
similar indemnification provisions and waivers and that 
the risk of liability to the City is minimal. 



Recommendations: 



1. In accordance with Comment No. 2, amend the title of 
the resolution to state that the agreement is a 
subcontract. 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



2. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors since (1) the 
proposed agreement would be automatically renewed each 
year without approval by the Board of Supervisors, and 
(2) the Director of Public Health would be authorized to 
enter into similar agreements with the University of 
California at Berkeley without approval by the Board of 
Supervisors. 




Harvey M. Rose 



BOARD OF SUPERVISORS 
BUDGET ANALYST 




City and County of^an Francisco 

Meeting jyiinutes 

^Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday 



1:00 PM 

Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown. 
Members Absent: Michael Yaki. 



Meeting Convened 



DOCUMENTS DEPT. 



The meeting convened at 1:10 P.M. 



REGULAR AGENDA 



APR 2 8 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



990620 [Grant - Federal] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept 
retroactively and expend a grant in the amount of $49,719 from Substance Abuse and Mental Health Services 
for the "Bridging the Gap" conference and to enter into an agreement which does not include patent 
infringement indemnification and false claims clauses; providing for ratification of action previously taken and 
waiving indirect cost. (Department of Public Health) 
4/5/99, RECEIVED AND ASSIGNED tc Public Health and Environment Committee. 

Heard in Committee. Speakers: Jim Stillwill, Department of Public Health; Monique DeJohn, Budget 
Analyst. Amended. On Page 2, line 10 add a Further Resolved clause to read: "The Controller should be 
urged to designate the position created under the grant as a "G" or Grant-funded position, which would 
terminate when the grant expires. " 
AMENDED. 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 2 - Bierman, Brown 
Absent: 1 - Yaki 



City and County of San Francisco 



Printed at 3:41 PM on 4/26/99 



Public Health and Environment Committee 



Meeting Minutes 



April 22, 1999 



990405 [Environmentally Preferable Purchasing Ordinance] 
Supervisor Katz 

Ordinance amending Administrative Code by adding Chapter 21F (Sections 21F.1 through 21F.1 1) to establish 
an environmentally preferable purchasing (EPP) program in the Department Aclministrative Services-Solid 
Waste Management Program; establishing criteria for evaluating chemically-based custodial, fleet 
maintenance, or facility maintenance products ("chemical products") used by City departments; assessing the 
City's use of chemical products; establishing a pilot program to determine the effectiveness of using preferred 
chemical products; and recommending to the Board of Supervisors whether to implement additional legislation 
to require all departments to use preferred chemical products. 

(Adds Chapter 21F, Sections 21F.1 thru 21F.11.) 

3/1/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 3/31/1999. 

Heard in Committee. Speakers: Supervisor Katz; Ed Lee, Director, Purchasing Department; Kelley 
Etherington, Solid Waste Management Program; Rajiv Bhatia, M.D., Occupational and Environmental 
Health, Department of Public Health; Francesca Vitor, Director, Department of the Environment; Ted Lakey, 
Deputy City Attorney; Ernestine Weiss. Amendment of the Whole bearing new title presented in Committee by 
Supervisor Katz. Supervisors Bierman and Brown requested to be added as co-sponsors. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE. 

Ordinance amending Administrative Code by adding Chapter 21F (Sections 21F.1 through 21F.1 1) to establish 
an environmentally preferable purchasing (EPP) program in the Department of Administrative Services-Solid 
Waste Management Program; establishing criteria for evaluating chemically-based custodial, fleet 
maintenance, or facility maintenance products ("chemical products") used by City departments; assessmg the 
City's use of chemical products; establishing a pilot program to determine the effectiveness of using preferred 
chemical products; and recommending to the Board of Supervisors whether to implement additional legislation 
to require all departments to use preferred chemical products. 

(Adds Chapter 2 IF, Sections 2 IF. 1 thru 21F.1 1.) 
RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Bierman, Brown 
Absent: 1 - Yaki 



981750 [Disaster Debris Recycling] 
Supervisor Katz 

Resolution urging City departments to maximize disaster debris landfill diversion. 

10/19/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 
1/25/99, TRANSFERRED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Katz; Robert Haley, Recycling Program. Amendment of the 
Whole bearing same title presented in Committee by Supervisor Katz. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Bierman, Brown 
Absent: 1 - Yaki 



City and County of San Francisco 



Printed at 3:41 PM on 4/26^9 



Public Health and Environment Committee Meeting Minutes April 22, 1999 



990522 [Comprehensive Lead Poisoning Prevention Program] 
Supervisors Bierman, Newsom, Katz 

Hearing to consider the plans regarding implementation of the Comprehensive Lead Poisoning Prevention 
Program from the following departments: Recreation and Park Department, Department of Building 
Inspection, Public Library, Department of Public Works, Department of Real Estate, Department of Human 
Services, Department of Public Health, Mayor's Offices of Community Development and Housing, 
Department of Children, Youth and Families, the Tax Collector, Water Department, the Unified School 
District, San Francisco Housing Authority and the Redevelopment Agency. 
3/15/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Dr. Larry Meredith, Department of Public Health; Neil Gendel, Healthy 
Children Organzing Project; Karen Cohn, Department Manager, Child Development, Department of Public 
Health; Joel Robinson, Acting General Manager, Recreation and Park Department; Jeffrey Brannan, Safety 
Officer, Recreation and Park Department; Tim Thoroson, S.F. Unified School District; Virgina Cole, S.F. 
Unified School District; Stacy Herrera, Child Development Program, S.F. Unified School District; Sally 
Kipper, Deputy Director, Department of Human Services; Ellen Datar, Director, Department of Children, 
Youth and Families; Joel LaTorre, Mayor's Office of Housing; M. Harris, Mayor's Office of Housing; Peter 
Burns, Department of Building Inspection; Richard McGuire, Lead Coordinator, Housing Authority; Bill 
Natamura. Redevelopment Agency; Robin Bertstaller, Public Library; Phil Caeskey, Public Utilities 
Commission; Norman Cole, Ground Support, Juvenile Probation Department; Steve Mullnicks, Department of 
Public Works; Tony DeLucchi, Director of Property, Real Estate Department; Basheem Allah, Southeast 
Alliance for Environmental Justice; Tan Chow, Chinatown Community Development Center; Narda Harrigan, 
Bret Harte Elementary School; Rachel Herritt, Brett Harte Elementary School; Memo Tabuso, San Francisco 
League of Urban Gardeners; Joseph Smooke, Bernal Heights Neighborhood Center; Carlo Furtado. 
Supervisor Katz requested to be added as a co-sponsor. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Brown 

Absent: 1 - Yaki 



ADJOURNMENT 



The meeting adjourned at 3:44 P.M. 



City and County of San Francisco 3 Printed at 3:41 PM on 4/26/99 



Public Library, Gov't Information Ctr.. 5 th Fir. 
Attn: Susan Horn, Dept. 41 



CITY AND COUNTY 




OF SAN FRANCISCO^ 
/ 






' I 



^BOARD OF SUPERVISORS 



BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



A: >- 2 1999 

vc/sco 



April 20, 1999 
TO: * Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: ,April 22, 1999 Public Health and Environment Committee Meeting 



Item 1 - File 99-0620 

Department: 

Item: 



Grant Amount: 
Grant Period: 

Source of Funds: 



Department of Public Health 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention Division, Community 
Health and Safety, to accept retroactively and expend 
grant funds in the amount of $49,719 from the Federal 
Substance Abuse and Mental Health Services Agency to 
fund the "Bridging the Gap" Conference and to enter into 
an agreement which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of actions previously taken; waiving indirect 
costs. 

$49,719 

Retroactive to March 15, 1999 and extending to March 15, 
2000 (12 months) 

U.S. Department of Health and Human Services, 
Substance Abuse and Mental Health Services Agency 



Memo to Public Health and Environment Committee 

April 22, 1999 Public Health and Environment Committee Meeting 



Description: 



Approval of this proposed resolution would authorize the 
Department of Public Health (DPH), Population Health 
and Prevention Division, Community Health and Safety, 
to accept retroactively and expend grant funds in the 
amount of $49,719 from the Federal Substance Abuse and 
Mental Health Services Agency to partially fund a 
conference entitled "Bridging the Gap: Integrating 
Traditional Substance Abuse and Harm Reduction 
Services," to be held on May 3 & 4, 1999, in San 
Francisco. 



Budget: 



Required Match: 
Indirect Costs: 



Comment: 



Dr. Alice Gleghorn of DPH advises that this conference 
will implement a central goal of the Treatment on 
Demand Planning Council: integrating harm reduction 
strategies into treatment services for substance abuse. 
The conference will include workshops and panel 
discussions with local, national and international experts 
in the field. Participants will include 500 substance 
abuse treatment providers from throughout the country, 
including those who provide services to individuals who 
use drugs and alcohol. 

According to Dr. Gleghorn, the total estimated cost of the 
conference is $66,949. Therefore, this conference will 
require an additional $17,230 (total estimated cost of 
$66,949 less the subject grant funds of $49,719). Dr. 
Gleghorn advises that the funding source for the 
additional 17,230 will be from previously approved grant 
funds from the Open Society Institute, The Linde smith 
Center (a non-profit organization) in DPH's 1998-99 
budget. Attachment I, provided by DPH, contains the 
budget details for this project. 

None. 

The proposed resolution provides for the waiver of 
indirect costs because, according to Ms. Lucille Burlew- 
Lawler of DPH, the Federal Substance Abuse and Health 
Services Agency does not allow such costs. 

1. According to Ms. Burlew-Lawler, the proposed 
resolution to accept and expend the grant funds will be 
retroactive to March 15, 1999. Ms. Burlew-Lawler 
advises that due to a delay in notice of the availability of 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

April 22, 1999 Public Health and Environment Committee Meeting 

the grant by the Substance Abuse and Mental Health 
Services Agency, the proposed resolution is now being 
submitted for Board of Supervisors approval. According 
to Ms. Burlew-Lawler, no expenditures have been 
incurred against the proposed grant. 

2. Ms. Jean Fraser of the City Attorney's Office advises 
that as a condition of receiving the subject grant funds, 
DPH has agreed to enter into an agreement (the 
"Agreement") with the Substance Abuse and Mental 
Health Services Agency that would require the City to 
waive (1) the requirement contained in Sections 6.21 and 
21.19 of the City Administrative Code that the Agreement 
include an indemnification of the City by the Substance 
Abuse and Mental Health Services Agency for the 
infringement of patent rights; and, (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the Agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57(a) of the 
City's Administrative Code. Ms. Fraser advises that the 
waivers in this case are standard and pose minimal risk 
to the City. 

3. According to Dr. Gleghorn, the proposed grant will 
fund one part-time new position for the conference. Dr. 
Gleghorn states that this position will be terminated 
when the one-year grant expires on March 15, 1999. Dr. 
Gleghorn advises that the total personnel cost is $5,684 
(based on approximately 479 hours at an hourly rate of 
$11.86 per hour, not including fringe benefits). This 
position would not receive fringe benefits because, 
according to Ms. Alice Villagomez of the Department of 
Human Resources, temporary City employees must work 
at least 1,040 hours per year to be eligible for such 
benefits. The Budget Analyst recommends that the 
proposed resolution be amended to designate the new 
position as "G" or "Grant-funded" so that this position 
would expire upon the termination of the grant. 

4. Attachment II, provided by DPH, is the Grant 
Application Information Form. 

5. According to Dr. Gleghorn, the term of the grant period 
is March 15, 1999 through March 15, 2000, rather than 

BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

April 22, 1999 Public Health and Environment Committee Meeting 

March 15, 1998 through March 15, 2000, and the number 
of new positions created is approximately .23 FTE, 
instead of 0.5 FTE, as shown in Attachment II. 

6. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

7. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject Agreement 
with the Substance Abuse and Mental Health Services 
Agency if the grant recurs or is renewed, without 
obtaining subsequent approval by the Board of 
Supervisors. 



Recommendations: 



1. Amend the proposed resolution to designate the new 
position created under the grant as "G" or "Grant-funded" 
position. 

2. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors since this 
resolution authorizes the Director of Public Health to 
enter into other future agreements, similar to the subject 
Agreement, with the U.S. Department of Health and 
Human Services, Substance Abuse and Mental Health 
Services Agency if the grant recurs or is renewed, without 
obtaining subsequent approval by the Board of 
Supervisors. 



Harvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 



Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



nRK d.3 "ay \oi-^frn u^kd ^i^-csj-j^^ 



*/> 



IT. 






£ £ £ 



© 

in 



o 
© 



fe 



m 






«l 



£ s 



"Alice Gleghorn^Ph.D. 

Attachment I 



© 
R 



o 



St 2 




.3 «* 3? 



w 3£ 



o 



s 



c 


o 


o 


v> 


© 


m 




«l 






w 





© 55 



© 
en 



s 



o 

a 



•«r. 



T©© 

s: c in 
>o >© r^ 

ft 



©com 

R, S S © s 

in in in rs n" V 

TrT %TT ^^ V7 sTT ^^T 



o 
in 



s S 



© 



£ 



ON 



^ 







«J 



52 ft 

- § 

e 



1 

V) 



re 

o 

■o 
c 

« 

S 
"bb 

■a 

3 

re 



C 

& 

5 

cr 









ft £ 

Im 

3 

cu 




2 
8 

u 

b0 



re 
2 



.5 

"S. 

ex 

3 

g 



8 

& 

£ 

c 

v 

bO 

re 

s 
bo 

s 

s 
v5 



J2 
•2 

D 

c 
o 



b0 

e 



c 



File Number: r d & 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department: Population Health and Prevention; Community Health Services, Community 
Substance Abuse Services 

2. Contact Person: Barbara Garcia, Director, Community Substance Abuse Services 
Telephone: 255-3525 

3. Project Title: Conference: "Bridging the Gap: Integrating Traditional Substance Abuse and 
Harm Reduction Services" 

4. Grant Source Agency: Department of Health and Human Services, Substance Abuse and 
Mental Health Services. 

5. Type of Funds: X Federal Federal-State (Pass-Through) State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: The conference will implement a 
central goal of the Treatment on Demand Planning Council: integrating harm reduction 
strategies into treatment services. It will take place on May 3-4, 1999, in San Francisco, 
featuring keynotes by Dr. Alan Marlatt and Dr. Pat Denning; workshops; and panel 
discussions with local, national, and international experts in the field. Participants will 
include 400 substance abuse treatment providers and those who provide services to 
individuals who use drugs and alcohol. 

7. Amount of Grant Funding Applied for: $50,000 

8. Maximum Funding Amount Available: $50,000 

9. Required Matching Funds? Yes: No: X Cash or In-kind: 



Attachment II 
Paee"l~of"'2"" rr " 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: N/A 

10. Number of new positions created and funded: .50 FTE 

11. If new positions are created, explain the disposition of employees once the grant ends: The 
part-time temporary position will end. 

12. Are indirect costs eligible costs for this grant? Yes: No: X 

If yes, please identify the amount of $ in indirect costs: $0 

3/23/99 1 



HKK-20-1999 09: 15 



DPH CONTRACTS 



415 554 2555 P. 02 

Attachment II 
Page 2 of 2 



13. Amount to be spent on contractual services: $0 . ". 

14. a.) Will contractual services be put out to bid?: Yes: __No: Not applicable 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : Not applicable 

15. Is this likely to be a one-time or ongoing request for contracting out?: Not applicable 

16. Term of Grant: Start-Date: March 15, 1998 End-Date: March 15, 2000 

17. Date Department Notified of Available Funds: 12/1/98 

18. Grant Application Due Date: 9/1 0/98 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): The grantee will be legally and financially responsible for all aspects 
of this grant, including funds provided to sub-recipients. A Financial Status Report must be 
submitted for each budget period no later than 90 days after the close of the budget period. 
None of the funds under this award can be used to pay the salary of an individual funded under 
this cooperative agreement at a rate in excess of SI 25,900 per year. Program income accrued 
under this cooperative agreement award must be accounted for in accordance with 45CFR Part 
74.24 or 45 CFR 92.25 as applicable.Indirect costs are not an allowable expenditure of 
SAMHSA funds. 



20. Department Head Approval: 



Mitchell Katz, M.D., Director of Health 



Signature 



3/23/99 



TOTAL P. 02 







City and County of £an Francisco 

Meeting JVlinutes 

^Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



?0 



Thursday, May 13, 1999 



1:00 PM 

Regular Meeting 



City Hall, Room 263 



'<?? 



Members Present: Sue Bierman, Michael Yaki. 



Members Absent: Amos Brown. 



Meeting Convened 



The meeting convened at 1:08 P.M. 



REGULAR AGENDA 



DOCUMENTS DEPT. 

MAY 1 8 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 






990734 [Grant - State] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, Emergency 
Medical Services, to accept retroactively and expend a grant in the amount of $500,000 from the State Office 
of Traffic Safety for the Child Passenger Safety Program and to enter into an agreement which does not 
include patent infringement indemnification and false claims clauses; providing for ratification of action 
previously taken. (Department of Public Health) 
4/15/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker. Abbie Yant, Emergency Medical Services, Department of Public Health. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



990848 [Grant - State] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept and 
expend retroactively a grant in the amount of $5,000 from the California Department of Fish and Game, Office 
of Oil Spill Prevention and Response, for providing input into an agreement which does not include patent 
infringement indemnification and false claims clauses; providing for ratification of action previously taken. 
(Department of Public Health) 
4/27/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Richard Lee, Environmental Health Services, Department of Public Health. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



) 



City and County of San Francisco 



Printed at 5:34 PM on 5/13/99 



Public Health and Environment Committee 



Meeting Minutes 



May 13, 1999 



990808 [Contract, DPH/Department of Rehabilitation] 

Resolution authorizing the Department of Public Health, Public Health Division, Community Mental Health 
Services to enter into a Cooperative Program Agreement with the Department of Rehabilitation San Francisco 
District, including a required match of $160,605, and which does not include patent infringement 
indemnification and false claims clauses, to provide vocational services to mentally-ill psychiatric clients. 
(Department of Public Health) 

4/26/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Jack Rabin, Assistant Director, Community Mental Health, Department of 

Public Health. 

RECOMMENDED., by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



990650 [National Center for Strategic Non-profit Planning and Community Leadership] 
Supervisor Yaki 

Hearing to consider the National Center for Strategic Non-profit Planning and Community Leadership's efforts 
in San Francisco to strengthen fragile families and provide support networks for non-custodial fathers. 
4/5/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee. 

4/9/99, TRANSFERRED to Public Health and Environment Committee. President requests calendaring at Public Health and 
Environment Committee meeting of May 13, 1999. 

Heard in Committee. Speakers: Nigel Vann, National Center for Strategic Nonprofit Planning and 
Community Leadership; Edwina Young, Family Support Bureau, District Attorney's Office; Hope Kamimoto, 
Noncustodial Parent Project Coordinator, Department of Human Services. 
FELED by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 






990749 [Mercury Pollution] 
Supervisor Leno 

Resolution urging City agencies and departments and all medical facilities within San Francisco to eliminate 
their use of mercury and mercury containing products to prevent mercury pollution of air and water and to 
protect food quality. 

4/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
Heard in Committee. Speaker: Supervisor Leno. 
CONTINUED TO CALL OF THE CHAD* by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



City and County of San Francisco 



Printed at 5:34 PM on 5/13/99 



Public Health and Environment Committee 



Meeting Minutes 



May 13, 1999 






990754 [Brown and Toland Medical Group] 

Supervisors Leno, Ammiano, Katz, Bierman 

Hearing to consider allegations of denial of admission of a group of gay and lesbian physicians with large 
HIV/ ADDS practices to the Brown and Toland Medical Group. 
4/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Leno; Supervisor Katz; Dr. William Owen, Davies Medical 
Group; Dr. Tom McAfee, Director, Brown and Toland Group; Lee Ann Monfredini, President, Health 
Commission; Dr. George Lee, California Medical Center; Tomas Lee, Legislative Aide, representing 
Supervisor Ammiano; Kathleen Wayman, Director, Davies Medical Center; Dr. Richard Cazen, Davies 
Medical Campus; Brian Christianson; Frederick Hobson, S.F. Health Authority; Pam Cole; Bill Stibich; 
Michael Greene; Bruce Fitting. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



ADJOURNMENT 



The meeting adjourned at 3:25 P.M. 






) 



City and County of San Francisco 



Printed at 5:34 PM on 5/13/99 



-th 



Public Library,Gov't Info. Ctr., 5 l " Fir. 
Attn: Susan Horn 






CITY AND COUNTY 




OF SAN FRANCISCO 

/ 



BOARD OF SUPERVISORS 



BUDGET ANALYST 



DOCUMENTS DEPT. 

MAY 1 h 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



May 11, 1999 
TO: .Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: May 13, 1999 Public Health and Environment Committee Meeting 



Item 1- File 99-0734 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention, Emergency Medical 
Services to accept retroactively and expend a grant in the 
amount of $500,000 from the State Office of Traffic Safety for 
the Child Passenger Safety Program and to enter into an 
agreement which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken. 

$500,000 

February 1, 1999 through September 30, 2001 (32 months) 

California State Office of Traffic Safety 

The proposed resolution would authorize DPH to accept 
retroactively and expend the subject grant funds in the 
amount of $500,000 to establish a Child Passenger Safety 
Program. According to Ms. Abbie Yant of DPH, the goal of 
the Child Passenger Safety Program would be to reduce 
motor vehicle crash injuries and fatalities among children 0- 



Memo to Housing and Neighborhood Services Committee 

May 4, 1999 Housing and Neighborhood Services Committee Meeting 

4 years of age resulting from the misuse and non-use of child 
safety restraints. Ms. Yant further explains that the 
Program would coordinate with community-based 
organizations and with the San Francisco Police Department 
to implement program goals, including education and 
enforcement efforts, child passenger check-ups and the 
distribution of child passenger safety seats, boosters and 
related accessories. Ms. Yant also reports that DPH intends 
to ensure the longevity of the Child Passenger Safety 
Program by establishing strong community awareness and 
support from community-based organizations that directly 
serve the children of San Francisco. 



No. of Persons 
Served: 



Budget: 



Approximately 7,500 families 

A summary budget provided by DPH is as follows: 



Personnel 1 


$185,039 


Travel 


7,500 


Contractual Services 


189,200 


Equipment & Supplies 


90,505 


Indirect Costs (15% of Personnel Costs) 


27.756 


TOTAL 


$500,000 



Required Match: 
Indirect Costs: 

Comments: 



Attachment I, provided by DPH, contains the budget details 
to support this budget of $500,000. 

None. 

$27,756 (approximately 15% of program budget personnel 
costs) 

1. Ms. Jean Fraser of the City Attorney's Office advises that 
as a condition of receiving grant funds, the DPH has agreed 
to enter into an agreement (the "Agreement") with the 
California State Office of Traffic Safety that would require 
the City to waive (1) the requirement contained in Sections 
6.21 and 21.19 of the City Administrative Code that the 
Agreement include an indemnification of the City by the 
California State Office of Traffic Safety for the infringement 
of patent rights; and (2) the requirement contained in Section 



1 Includes 1 Project Coordinator "G-position" FTE, 1 Project Assistant hired part-time on an as- 
needed basis, and clerical support staff to be paid up to 20 hours per week on an as-needed basis. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Housing and Neighborhood Services Committee 

May 4, 1999 Housing and Neighborhood Services Committee Meeting 

6.57(c) of the City's Administrative Code that the Agreement 
include a paragraph reciting the false claims provisions 
contained in Section 6.57(a) of the City Administrative Code. 
Ms. Fraser advises that the waivers in this case are standard 
and pose minimal risk to the City. 

2. Attachment II is the Grant Application Information Form 
as prepared by the DA. 

3. A Disability Access Checklist prepared by DPH for the 
proposed grant program is on file with the Clerk of the 
Board. 

Recommendation: Approve the proposed resolution. 






BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Attachment I 
-bige__l o± 2 



SCHEDULE B 

PAGE1 

DETAILED BUDGET ESTIMATE 

PROJECT NO. OP9913 



COST CATEGORY 



A^RERSONN EgCO.STS:^^^^^^ 

Positions And Salaries 

Permanent Salaries 

Project Coordinator 

0.8FTE @S29.97/hr 

for 8 months FY1 

@12mosFY2. 

@ 12 mos plus 3% COLA in FY3 

Project Assistant 

as needed up to 20 hrs /wk 

at$11.94/hr 

Clerical Support 

as needed up to 20 hrs /wk 

atS15.00/hr 



total: 



FY-1 

271-9/30/99 



FISCAL YEAR ESTIMATES 



FY-2 

10/1-9/30/00 



33,222.00 



5.000.00 



2,000.00 



49,870.00 



5.000.00 



2.000.00 



40,222.00 



55,870.00 



FY-3 . 
10/1-9/30/01 



51,355.00 



5,000.00 



2,000.00 



58,355.00 



FY-4 



TOTAL COST 
TO PROJECT 



134,458.00 



15,000.00 



6,000.00 



155.458.00 



Employee Benefits @ 22% 



Category Sub-Total 



B: 



n -State 







Category Sub-Total 



2,500.00 



2,500.00 



2,500.00 



2.500.00 



2.500.00 



2,500.00 



7,500.00 



™* r^ .-v::z::r - g^^^^^^^^^^^^^^^^^^^ g^ 



7,500.00 



CPS Consultant Contracts 

Media Relations Consultant Contract 

Volunteer Stipends 

San Francisco Police Department 



\ Category' 



r Sub-Total 



1,200.00 

12,000.00 

1,000.00 

50,000.00 



64,200.00 



1,500.00 

10,000.00 

1,000.00 

50,000.00 



62,500.00 



1,500.00 

10,000.00 

1,000.00 

50,000.00 



62,500.00 



4,200.00 

32,000.00 

3.000.00 

150,000.00 



189,200.00 



OTS-38d(Rev.10/97) 



Attachmen t I 
>aee 2 of 1 



>P^NQK-E)^END ABLElPROPPPwgra~ 



SCHEDULE B 

PAGE 2 

DETAILED BUDGET ESTIMATE 

PROJECT NO. OP9913 



COST CATEGORY 



Not applicable 



FY-1 
2/1-9/30/99 



FISCAL YEAR ESTI MATES 
FY-2 



10/1-9/30/00 



FY-3 

10/1-9/30/01 



FY^ 



TOTAL COST 
TO PROJECT 



Category Sub-Total 



E.~OTH ERjDI RECTjCOSTS$gg «i 
i Consumable Office Supllies 
i Materials 

Printing 

Photocopying 

translation 
»'Phone 

400 Car Seats. Boosters and Accessories 

Membership/Subscription and other fees 

Computer Hardware 

Computer Software 

2 phones 




Category Sub-Tota! 



300.00 

2.000.00 

5.000.00 

1.000.00 

1.000.00 

1 .000.00 

18.000.00 

1 .800.00 

2.000.00 

500.00 

200.00 



300.00 


300.00 


2,000.00 


1.605.43 


5.000.00 


5.000.00 


1.000.00 


1.000.00 


1.000.00 


1,000.00 


1,000.00 


1,000.00 


18.000.00 


18,000.00 


250.00 


250.00 



500.00 



500.00 



32,800.00 | J 29,050.00 



900.00 
5,605.43 

15,000.00 
3.000.00 
3.000.00 
3.000.00 

54.000.00 

2,300.00 

2.000.00 

1,500.00 

200.00 



*" ~T -P--I | | ' ' * ^ 05R0 ° ' * 28 - 655 - 43 s 



Category Sub-Total 
PROJECT TOTAL 



7,129.63 



10.176.21 




10.176.21 



10,449.98 




10.449.98 $ 



172,067.61 | $ 173,771.93~}T 



27,755.81 



27.755.81 




500,000.00 



CTS-3&d(Rev.1C<'£>7) 



lUWlUflDHWflBni 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 



Attachment II 
Pap;e 1 of 2 ~ 






To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department Division. & Branch: DPH/PHP/EMS Section 

2. Contact Person: AbbieYant Telephone: 554-9970 

3 . Project Title: Child Passenger Safety 

4. Grant Source Agencv: California Office of Traffic Safety 

5. Tvoe of Funds (Circle): Federal Federal - State (Pass Through) State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: 

The goal of this project is to reduce injuries and fatalities among children 0-4 years of age resulting from 
misuse and lack of use of child safety restraints due to motor vehicle crashes. This program will provide 
for a coalition of community based organizations to develop and implement a comprehensive child 
passenger safety program that includes: a low cost child passenger safety seat program, collaboration with 
the San Francisco Police Department to increase education and enforcement efforts including frequent 
child passenger check ups, community, police and hospital education and outreach using NHTSA certified 
trainers, and promotion of the program through media outreach. 

7. Amount of Grant Funding Applied For: $500,000 

8. Maximum Funding Amount Available (at time of application): unknown 

9. Required Matching Fund?? (Circle): Yes No Cash In-kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: 



The City will provide adjunctive services for administration of this project In kind contribution 


includes 


office space and furnishings. The Department of Public Health, EMS Section will provide project 


direction. 










FY-1 


FY-2 




FY-3 








Program Administrator 10% 


7,616 


7,616 


7,616 


Office Rental 








( 150sq/ft at S1.19/sq ft/month) 


2,142 


2,142 


2,142 


Office Furnishings 








(desk, chairs, lamps, heater, files, misc) 


1,500 






Indirect 7% 


3.327 


4.748 


4.876 


TOTAL 


$14,585 


514,506 


514,634 



2/9/99 



Attachment II 
Pa^P 7 nf 7 



10. Number of new positions created and funded: 

0.8 FTE Project Coordinator 

as needed clerical and project assistants 

Work order fund for SFPD overtime for traffic enforcement 



11. If new positions are created, explain the disposition of emploveefs) once th e grant ends: 
These positions are temporary and will no longer be funded after the grant funds are depleted. 



12. Are indirect costs eligible costs for this grant? (Circle): Yes Noj. 

If ves. please identify the amount of Ss in indirect costs: $27,755 

.13. Amount to be spent on contractual services: $39,200 

14. a.) Will contractual services be put out to bid? f Circle): Yes Noj. 
b.) If so. will contract services help to further the goals of the department's Yes 
MBE/WBE requirements? : 

15. Is this request for contracting out likelv to be : CCircleOne) One Time Ongoing, 

16. Term of Grant: Start-Date: 2/1/99 End-Date: 09/30/01 

17. Date You Were Notified That This Funding Was Available: 11/98 

18. Grant Application Due Date: 1/98 

19. Grant Funding Guidelines and Options (selected from RFP. grant anno uncement or 
appropriations legislation): 

Occupant protection programs include child restraint and seat belt programs. Proposals should 
address education, training, enforcement, public information, and may include personnel, 
educational materials, and child restraint devices. 



20. Department Head Approval: Mitchell Katz, MJD., Director of Health 

(To be obtained by Grant Manager) 



Signature 



4/6/99 



Memo to Public Health and Environment Committee 

May 13, 1999 Public Health and Environment Committee Meeting 

Item 2 - File 99-0848 



Department: 
Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 






Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention Division, Community 
Health and Safety, to accept and expend retroactively 
grant funds in the amount of $5,000 from the California 
Department of Fish and Game, to participate in updating 
(1) the Regional San Francisco Bay/San Joaquin Delta 
Area Contingency Plan and (2) the San Francisco Oil Spill 
Prevention and Response Plan and to enter into an 
agreement which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken. 

$5,000 

January 1, 1999 through December 31, 1999 

California Department of Fish and Game, Office of Oil 
Spill Prevention and Response 

In 1992, the Department of Public Health (DPH) applied 
for and accepted a grant in the amount of $49,550 from 
the California Department of Fish and Game to fund 
DPH's development of the San Francisco Oil Spill 
Prevention and Response Plan for the purposes of having 
a local plan to prevent and respond to oil spills pursuant 
to the Federal Oil Pollution Act of 1990. The grant also 
funded San Francisco's participation in the development 
of the Regional San Francisco Bay/San Joaquin Delta 
Contingency Plan for oil spills. This Regional Plan was 
developed for the purpose of meeting requirements of the 
Federal Oil Pollution Act of 1990 for regional planning in 
connection with the prevention of and response to oil 
spills. The DPH's role in the development of the Regional 
Plan involved providing information on San Francisco's 
environmentally sensitive locations, economically 
significant sites, resources available to mitigate oil spills, 
potential staging locations, and contacts and procedures 
in the event of an oil spill. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

8 



Memo to Public Health and Environment Committee 

May 13, 1999 Public Health and Environment Committee Meeting 

Mr. Richard Lee of the DPH advises that the Regional 
San Francisco Bay/San Joaquin Delta Contingency Plan, 
which was completed in June of 1993 and the San 
Francisco Oil Spill Prevention and Response Plan, which 
was completed in August of 1993, now both need to be 
updated pursuant to Federal Oil Pollution Act guidelines. 
Mr. Lee advises that such plans should be updated 
annually, in order to ensure the overall effectiveness of 
the plans. 

The proposed grant funds would allow DPH to (1) 
participate in updating the Regional San Francisco 
Bay/San Joaquin Delta Area Contingency Plan and (2) 
update the San Francisco Oil Spill Prevention and 
Response Plan. 



Budget: 



Personal Services 

Senior Industrial Hygienist 

(80 hours @ $40.00 per hour) 
Fringe Benefits @ 30% 
Subtotal 

Operating Expenses 
Travel 
Supplies 

Subtotal 



$3,200 

960 

4,160 



400 
240 
640 



Indirect Costs 



200 



TOTAL $5,000 



Required Match: 
Indirect Costs: 
Comment: 



None. 



$200 



1. The proposed resolution to accept and expend the grant 
funds is retroactive to January 1, 1999. Mr. Lee advises 
that because DPH received notice of the availability of the 
grant on April 5, 1999, the proposed resolution is now 
being submitted for the Board of Supervisors approval. 
According to Mr. Lee, DPH has already expended 
approximately $1,000 or 20 percent of the subject grant 
funds on attending the 1999 meetings of the Regional San 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

9 



Memo to Public Health and Environment Committee 

May 13, 1999 Public Health and Environment Committee Meeting 

Francisco Bay/San Joaquin Delta Contingency Plan 
Committee. 

2. Ms. Jean Fraser of the City Attorney's Office advises 
that as a condition of receiving the grant funds, the DPH 
has agreed to enter into an agreement (the "Agreement") 
with the California Department of Fish and Game that 
would require the City to waive (1) the requirement 
contained in Sections 6.21 and 21.19 of the City 
Administrative Code that the Agreement include an 
indemnification of the City by the California Department 
of Fish and Game for the infringement of patent rights; 
and, (2) the requirement contained in Section 6.57(c) of 
the City's Administrative Code that the Agreement 
include a paragraph reciting the false claim provisions 
contained in Section 6.57(a) of the City's Administrative 
Code. Ms. Fraser advises that the waivers in this case 
are standard and pose minimal risk to the City, according 
to Ms. Fraser. 

3. The Attachment is a summary of the grant application 
information, as prepared by the DPH, for the proposed 
grant funds. 

4. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

5. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
Agreement, with the California Department of Fish and 
Game if the grant recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Public Health to enter into other future 
agreements, similar to the subject Agreement, with the 
California Department of Fish and Game if the grant 
recurs or is renewed, without obtaining subsequent 
approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

10 



Attachment 

Page 1 of 2 
File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department. Division. & Branch: Population Health and Prevention, Community Health 
and Safety Services, Environmental Health. 

2. Contact Person: Richard Lee Telephone: 252-3992 

3 . Project Title: Oil Spill Contingency Plan 

4. Grant Source Aeencv: California Department of Fish & Game 

5. Type of Funds (Circle): Federal Federal- State (Pass-Through) State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: Participate in the Coast Guard's 
Area Planning process and thereby assist in the update of the Area Plan, participate in oil 
spill exercises, and ensure consistency between the Federal, State and Local Contingency 
Plans. 

7. Amount of Grant Funding Applied For: $5,000 

8. Maximum Funding Amount Available Cat time of application): $5,000 

9. Required Matching Funds? (Circle): Yes No Cash In-kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: 
N/A 

10. Number of new positions created and funded: None 

11. If new positions are created, explain the disposition of emplovee(s) once the grant ends: 
N/A 

12. Are indirect costs eligible costs for this grant? (Circle): Yes No 
If ves. please identify the amount of $s in indirect costs: $200 

13. Amount to be spent on contractual services: None 



4/15/99 

11 



Attachment 
Page 2 of 2 



14. a.) Will contractual services be put out to bid? (Circle): Yes: No: N /A 

b.) If so. will contract services help to further the goals of the department's MBE/WBE 
requirements? : N /A 

15. Is this request for contracting out likelv to be : One Time or Ongoing? (CircleOne) N /A 

16. Term of Grant: Start-Date: 1/1/99 End-Date: 12/31/99 

17. Date You Were Notified That This Funding Was Available: April 5, 1999 

18. Grant Application Due Date: N/A 

19. Grant Funding Guidelines and Options (selected from RFP. grant announcement or 
appropriations legislation') : (1) This grant agreement is entered into pursuant to the 
Kempert-Keene-Seastrand Oil Spill Prevention and Response Act. (2) Contractor agrees to 
provide all personnel, space, labor, materials, tools, equipment, and incidentals necessary in 
accordance with the attached Exhibit A entitled "City and County of San Francisco, Scope 
of Work - Area Planning". (3) The County is aware that the area committee within the 
local Marine Safety Office jurisdiction is responsible for establishing the schedule of 
meetings and working sessions necessary to complete the Area Contingency Plan update. A 
maximum degree of communication between the area committees and all participants will 
be vital. Networking and sharing of information will be essential. The State will be 
responsible for ensuring that for each subject area, the area plan includes input 
representative of local government information. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

(To be obtained by Grant Manager) 



/YUA/Ujdj( 



Signature 




4/15/99 

12 



Memo to Public Health and Environment Committee 

Mayl3, 1999 Public Health and Environment Committee Meeting 

Item 3 - File 99-0808 



Department: 



Item: 



Department of Public Health 
Public Health Division 
Community Mental Health Services 

Resolution authorizing the Department of Public Health 
(DPH), Public Health Division, Community Mental 
Health Services, to enter into a Cooperative Program 
Agreement, which includes a required match of $160,605, 
with the State Department of Rehabilitation to contract 
with two non-profit organizations to provide vocational 
services for mentally-ill psychiatric clients. This 
resolution also authorizes DPH to enter into an 
Agreement that does not include patent infringement 
indemnification and false claims clauses. 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



$478,618 (see Comment No. 1) 

July 1, 1999 through June 30, 2000 

State Department of Rehabilitation 

The proposed resolution would authorize the DPH to 
enter into a Cooperative Program Agreement with the 
State Department of Rehabilitation that provides for 
awards of Case Services Contracts to two non-profit 
organizations, namely Community Vocational Enterprises 
(CVE) and Richmond Area Multi-Services (RAMS). The 
Case Service Contracts would, according to Mr. Jack 
Rabin of the DPH, allow CVE and RAMS to provide 
vocational assessment, job support, and benefits 
counseling services for 85 and 100 mentally-ill psychiatric 
clients, respectively. This is the sixth year that the City 
has received grant funds from the State Department of 
Rehabilitation for the provision of these services. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

May 13, 1999 Public Health and Environment Committee Meeting 



Budget: 



Mr. Rabin has provided a budget for the total project costs 
of $478,618 for the one-year period from July 1, 1999 to 
June 30, 2000, as follows: 



Contractual Services 

Community Vocational Enterprises 

Richmond Area Multi-Services 



$236,367 
242.251 



TOTAL BUDGET 



$478,618 



Required Match: 
Indirect Costs: 

Comments: 



Attachments 1 and 2, provided by DPH, contain 
supporting budgets for the contractual services to be 
provided by CVE and RAMS, respectively. 

$160,605 to be included in DPrFs FY 1999-2000 budget. 

None. The State Department of Rehabilitation does not 
allow the inclusion of indirect costs in Cooperative 
Program Agreements. 

1. According to Ms. Anne Okubo of DPH, the State 
Department of Rehabilitation requires DPH to commit a 
local match of $160,605 in order to qualify for this grant. 
As a result, the actual net amount that the City would 
receive from this grant is $318,013 ($478,618 less the 
required match of $160,605). Ms. Okubo states that the 
DPH will request the $160,605 in matching funds in its 
FY 1999-2000 budget. 

2. According to Mr. Rabin, CVE and RAMS were selected 
on a sole-source basis because of their experience in 
providing vocational services to seriously emotionally 
disturbed clients. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the Cooperative Program 
Agreement include an indemnification of the City by the 
State Department of Rehabilitation for the infringement 
of patent rights; and (2) the requirement contained in 
Section 6.57(c) of the City's Administrative Code that the 
Cooperative Program Agreement include a paragraph 
reciting the false claim provisions contained in Section 
6.57(a) of the City's Administrative Code. According to 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

14 



Memo to Public Health and Environment Committee 

Mayl3, 1999 Public Health and Environment Committee Meeting 

Ms. Jean Fraser of the City Attorney's Office, these 
requirements apply to situations in which the City 
purchases goods or services, not when the City receives or 
passes through grant funds. Therefore, the waivers in 
this case are standard and pose minimal risk to the City, 
according to Ms. Fraser. 

4. DPH has prepared a Disability Access Checklist for the 
proposed grant program, which is on file with the Clerk of 
the Board. 

Recommendation: Approve the proposed resolution. 




1 

Harvey M. Rose 



x £t~iX~ 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

15 



Attachment ] 



fc 
_j 

m 
< 

x 

LU 

u. 

o 

z 

LU 

h- 
X 
< 

CL 
LU 
Q 



.2 

> 
a 



c 
di 

E 

•o 
c 

< 

O t 



CD 

o 



£tn„ 

< = oo 
°* > 

U_ ""' CD 

in 3i < 

i=2~ 



rr ^ ° 

< K oo 

l-~ UJ C£ 

CO t/3 Q 



09 — ' 







CO 


m 


r- 


*- 


o 


CM 


Tf 


o» 


CO 


o 


CO 


o 


r» 


r<« 








o 


o 


co 


r-. 


o 


CO 


*- 


CO 


CO 


o 


CO 


r- 


IO 


CO 






0Q 


T" 


o 


CO 


o 


^f 


T~ 


u> 


CM 


CO 


CO 


T™ 


co 


o 


CO 


































CO 




CO 


U3 


co 


CM 


V 


o 


^t 


IO 


CO 


r*. 


CO 


N-" 


as" 


tD 


CD 
cn 
co 




T - 


co 


CN 




▼■ 


CM 


V* 






IO 




CM 




CO 
CM 
4* 


••— ^_ 


































a o 
a) «• 
CB 
































































" 


CO 




CD 






























n. 


cd" 


D) 

C 
































CO 


co 
































a 


o 
































V 


































^ 


"33 






























In 


"3 
































V 


fc 


3 






























J3 

•E 

3 


LU 


CD 






























































Ztf, 


































9S 




CD 
C31 






























— o 


in" 


c 






























CD IO 




(0 






























St cn 


"S 


f 






























•S-7 


a 


o 






























CO TT 


CD 


"a> 

CJ 






























u_ <n 


.> 


































-o 
































O 
































*-_ 


03 
































LU 


























... 










to 


to 


N- 


^_ 


o 


CM 


<tf 


CD 


CO 


o 


CO 


O 


f* 


h*. 






-a 


o 


a 


co 


r^ 


o 


00 


^ 


oo 


CO 


o 


CO 


t- 


IO 


CO 






CD 


I - 


o 


CO 


o_ 


"C 


T- 


irt 


CN 


CO 


CO 


T" 


c0 


o 


CO 












■h 
























to 


CD CD 

■is 


CD 
O) 

=3 

CO 


00 


io~ 


CO 


CM 


^r 


o 


^f 


IO 


CO 


tx- 


CO 


f- 


o 


co" 


J3 

E 

3 


*~ 


CO 


CM 


▼* 


^ 


CM 


T" 


r- 




10 




CM 


T- 


CO 
«N. 

<*> 


z 
T5 


co J-: 


c 

3 






























CO 


"2 cn 


o 






























o . 

CJ 


J3. co 

a. K 


E 
< 




























































CO 






























< 

Ui 


































X 




o 






























X 




f- 




c 


























LU 








.o 


























> 








cL 


























o 








o 5 
S^ a> 

"a? a 


■*2 


s? 


55 


2? 


5 s 


•*5 


se 


^2 

5 s 


■""2 








LU 

> 

g 

i- 


S2 






■ o 


a 


© 


o 


V) 


o 


IO 


O 


IO 








h» 




• 


_J 

tu 

z 
z 
O 


tn 


cn 


<o 


U> 


CN 


CN 


CD 


CM 

O 

U 


•N* 


cs 








l»» 
CO 






c W 


CO 














O) 


c 










cn 








o c 


ui 

CL 














ca 


Iff 




tu 
















= CD 


CO 








V, 




c 


c 




a. 








z 










CD 

O 






o 

o 

a 

: o 

o 
o 

CJ 


O 




fS 

2 


u. 




o 








S 


"O 

CO 




and Address: 

, 10 ,h Floor 
A 94111 


0, LU 
CD 

E 

t- 


CD 

CO 

C 


O 
« 

s 

o 
o 


w 
O 
** 
A 

C 

"2 
o 

o 


o 
o 
o 

u 
« 

c 


O 

2 

a 


IS 
CD 
O 

e 
CO 

CD 

E 
>« 
O 


o5 

CO 
(0 

CD 
C 
CO 

3 

a 


c 

CO 

10 

to 




c 
_o 

at 

o 




a 
< 

i- 
o 

LU 

a 
a 

z 


a* 

w 
CD 

• > 

O 

CD 

_> 

T3 




i V 

co * o 




o 
o 


CJ 

a 

c 


u 

o> 

c 


O 
jo 


CD 
CJ 

i. 
CD 
CO 

u. 
(0 

CJ 


CD 

-** 


"o 

hi 

o 

•4^ 


< 
75 




3 

E 


T5 
o 


— w 

Jo 




2 £ .2 
k. O o 

o .n c 
"o « n a 

JS C CO w 




o 
CD 

ha 

a 


1= 

CO 

1— 

r- 


rtt 

w 
1- 


CD 
C 
CD 

m 


o 

CD 
IU 


Q. 

E 

Ui 


o 

CD 

5 


7 
CD 

CJ 


c 

CD 

e 


E 

O 
CJ 


5 

CO 


E 

■o 
< 




S-oju. 
































1^ = 5 






















o 


^. 


CN 


CO 




O cj ^cr co 


"*" 


CN 


cn 


^ 


«3 


CO 


N- 


CO 


o 


<e* 


^~ 


T— 


*~ 





s^ 



■St ^3 



ro ca 



16 



WbS2:60 66 » 0T AWW 



Attachment 2 
Page 1 of 2 



c . 

5 

'5 

0) 

ec 

a a 



e 



< 
D 



O 

9 



Shsf 

►■* ^ 5 
< oc ■ 

co 99 a- 



■J 
• 




..: 


dtLT 


'■ ■ 


r 

i 

i 
■i 

i 








1 


1 






1 
1 


i , 






a 
































o^ 

s* 


































11 




























£ M 


■2 ■ 


c 


r 


























•* 




5 




























i 
13 


& 


4M 

! 




i 
i 
























Q 0\ 

^ CO 














_ 






■ ■ *■ 










































2 r- 




& 




























£ 1 

■3 n 


is 


§ 




























• ,• CN 


"« ■ 


^ 




























Ik 


o 


o 
































> 

U 


1 






























,5 


3 






























% 
W 


£0 




























































O ' 






*^~ 
























pSI 


o 






























^i 


^^ 






• 
























eM 


.«&.' 






























b 


•v. 










. 




















J 


1: 


5 ** 


© 

*-* 


1 




e 




S 


O 
o 


XT 


•rt 

■^ , 


3 


s 


«9 




<»& 


5 2 


i*-. 




CO 


S 


m 


so 


»n 


o 


«o 


o* 


ey 


S0 




1 




ffl 


<n 




*o 


vO 


1-1 


o> 


oo 


5N 




»4 


O 




13 




■<*■ 






r« 


f^ 


■* 


«N 














e 


V r*. 










• 




















B 


3 




« 


























u . 


ea 




3 
V 


i 




























£ 








o 






















ai 


a 






a 






/^s 
















CQ 

. c 

•4 


e . « 

5*1 






«' 3 

I 1 


cm 
CbtV 






5 
















5 


*-4 \U 


•4 






NX 


















M 


u 


o 






















■* 




8 


S 


o 


M 


M 


M 


K 


■* 














§ 


£ 


— i < 


O 

o 




O 
in 




»c 










^ 




9 








-^ 


















>J 


w 


__ a. 


*J 


,v 










0) 


U 








CD 


< 


g 


^ "= 


to 


A 




a 


■o 




4i 


*M 






^ 


pH 


H 


- u 


. ^H 


-»H 




V 


N 




U 


o 








«5 


o 


H 


*8 


•S 


l* 






i-4 




> 


O 










►- 


■ 


v o 


«H 


Y* 




J3 


a) 




!• 






e 




41 




a 


?i 


' o 


P 




•H 




0) 


X 




o 




44 




41 


' u . 


v 




a 


U 


u 


to 






M 




3 




' o 


e *2 


a. 


c. 




5 


<V 


c 




o 




j-l 






•H 


a £ 


OT 


«3 




& 


a. 


a 


H 


m 




u 








•& - 


,2 = 




*? 


w 


(0 


V) 


u 


cs 


• 




3 




3 




11 


«J 


•w 


e 






«9 


'C 


•** 




•a 




O 




of est 


■ £ 


c 


w 


ao 


00 


v< 


o 


o 




2 




•»H 




•■to —■' 


£<3 


0) 


E 


C8 


a 


a 


<Q 


•H 


1k> 






JJ 




M 1 «4» 


S 


£ 


s 


-4 


•^ 


i 


4* 






a. 




a 




*> >* m 


1 


u 


"-W 


£ 


s 


< 


« 


<V 




41 




9 




< X M 


a. 




5 


•<4 
(S 

w 


0) 


4) 

> 
■H 


1 


el 

o 


C4 

41 
■H 

H 

a 


as 

C 




-3 




01 




** It (A fl 




•u 


±t 


9 


m 


<w 


ts 







a. 


a 




-J 




C ty u 




C' 


p 


c 


c 





u 




W4 


3 


•H 




19 1 




9 u a a 




% 


£ 


o 


<u 


41 


u 


tw 





(O 


iJ 




a 




■5 G <9 9 




5. 


| 


4J 


B 


& 




a 


■ri 


V 




SO 


^ 








«4 


p* 







-4 


6 

•p4 


u 

41 


ea 




H 


<8 


4J 








z o « u 

S a etc 




a 


e 


Q 


e. 


.^ 





h 


c 


Mm 


C 


•^ 


u 






£ 


1 


> 


1 


s 


5 


a. 


S 


O 


<s 


a 


£ 










"^T 1 
























J ..:■'- 


C Q 


• .1 






I 
••'•I 




to 




cp-.;i. 


<* 




XT 

- ■ i 


SN 









10 



a q 3 g 

w c — ® 

■S. 




20 



•f/E'd 



swwy i7 



9*Z0B99gTtfy S2: £a 



~n rrfT/in/cn 



Attachment 2 
Page 2 of 2 



e 
o 

D 



9. 

E 

■D 
C 
S 

£ 




(V 

c 
3 

6 

B 



2 

I 



O 

I 



gs 

m a? 
SO 2 























1 








• • 










..''■ 


• ; 




to" 




. 


i 


















• 

■ 
m 




Is 

1" 0J 




























a. 


















































j 




























. ._ . . 
















»o 




_ 




























o 




Si 




























Cu «" 


• 
J 




































f 

S 




























— •* 




















_ 
















•"I 


























1 7 




& 




























i a 

u. 


* • 

i 

i 


e 
■ 




























, 






as 
































1" 






























*: 


CO 






























LU 




i 


























O 






















1 






H 


' C3 






























vH 


■^^ 






























<M 


o 






























« 




I? 




CM 


o 

o 

* 




















O 

* 

in 


s 

i 


is 


■4, 

' CM 


00 
—4 


n 




















to 

N 

ffsl 


a a 














• 
















. » ' 






























o 






























u 






























i-4 














" 
















& - 




1 


























• 01 . CN 








* 






















W — ■ 






























I ■*■ 






























■ -H ^ 






























XJ w 






























3S. d 


c 
e 


























-J 


. M ,' - 




























a to c 


2* 


























< 


vi 14 -..» 


























o 


< O- '-H 


* R 


, 
























p 


la § 






























§ EN 
. — WD 


I s 


























, 


U IN P 


■2 £ 




1 
























.— ^ so a 

« CO ,OT 


a * 





























* • 








* 4J 

o 
























J l ■■F-jj. 


^ 




Ml 


p-4 
























< 




c 


(8 


JJ 






















S 




B 



























<0 




a 


.0 


M 






















• 
E 

3 




w 


3 


^ 

M 




















^|jP* 




E-i 


03 
















































































IB 












! 






[ 


- 


ggi 




i 


!* 


'I 


i 


2 

i 


*t 


to : 


• i 


i 


09 


.1 
O i 

I* 

' 1 




*■' 


lr 


IN 




till 




ee 



fr/fd 



swvy 



18 



9W0899SXfeg 2: ^ "&, c |f V b 'J/S0 



w 




City and County of £an Francisco 

Meeting JMinutes 

^Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 D;. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



10. W 



Thursday, May 27, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



£7/77 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



Meeting Convened 



The meeting convened at 1:05 P.M. 



REGULAR AGENDA 



990707 [San Francisco General Hospital Pharmacy Closure] 
Supervisor Katz 

Hearing to consider the impact of the closure of the San Francisco General Hospital pharmacy. 
4/12/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Katz; Dr. Mitchell Katz, Director of Health, Department of Public 
Health; Brad Benson, representing Supervisor Ammiano; Dr. Meg Newman, Emergency Coalition for Public 
Health; Dr. Collen Thompson, Resident Physician, Portero Hill Clinic; Dr. Norma Joe Waxman; Rosalyne 
Montgomery; Will Brady, Coalition to Save Public Health; Ed Kingsley, SEIU Local 790; Ignatus DeGroot, 
Pastor, St. Anthony's Catholic Church; Sarah Shaker, Executive Director, Instituto Laboral De La Raza. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



ADJOURNMENT 



The meeting adjourned at 2:24 P.M. 



DOCUMENTS DEPT. 

' "'; 0.3 1999 

SAN -RANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 12:26 PM on 6/1/99 



e. 

i 



J\ 



90.30 




City and County of^an Francisco 

Meeting Minutes 

, Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown, Michael Yaki and Mark 

Leno 

Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday, June 10, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Amos Brown, Michael Yaki, Mark Leno. 
Members Absent: Sue Bierman. 



Note: Chairperson Bierman was absent for the entire meeting and due to the expected absence 
of Supervisor Yaki for Item No. 3. President Ammiano appointed Supervisor Leno to be a 
member of the Committee to maintain a quorum for the meeting. 



Time Meeting Convened 



The meeting was convened at 1:05 P.M. 



REGULAR AGENDA 



991020 [Contract - DPH/Health Management Systems, Inc.] 

Resolution authorizing the Director of Public Health and the Purchaser to execute a contract between the City 
and County of San Francisco and Health Management Systems, Inc. to provide electronic claims submission, 
claiming of aged accounts and managed care consulting, claims and data processing services. (Department of 
Public Health) 
5/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Dianne Keefer, Director of Finance, Department of Public Health. 
RECOMMENDED., by the following vote: 

Ayes: 2 - Brown, Yaki 

Absent: 2 - Bierman, Leno 

DOCUMENTS DEPT. 



JUN 1 6 £99 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 2:33 PM on 6/14/99 



Public Health and Environment Committee 



Meeting Minutes 



June 10, 1999 



990353 [School-Based Health Services] 
Supervisor Katz 

Hearing to consider establishment of school-based health clinics in San Francisco high schools. 

2/22/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Katz; Deborah Alvarez-Rodriquez, Director, Department of 
Children, Youth and Families; James Loyce, Deputy Director, Department of Public Health; Jill Wynns, 
member, San Francisco Board of Education; Taj James, Coleman Advocates for Children and Youth; Trish 
Bascome, Director, School Health Program, S.F. Unified School District; Berta Guillen, senior, Lowell High 
School representing Youth for Access to Health Care Coalition; Janet Shalwitz, M.D., Medical Director, 
Children, Youth and their Families Section, Department of Public Health; Susan Kim, Director, Youth 
Commission; Maureen McCarthy, Balboa Teen Health Center; Albert Eng, Assistant Director, Children, 
Youth and the Families Section, Department of Public Health; Tracy Flanagan, M. D., San Francisco Health 
Plan; Barry Lawlor, Manger of Community Health, Catholic Health Care West/St. Mary's Medical Center; Dr. 
Sherry Sherman, Director of Community Benefits for California Pacific Medical Center; Margaret Brokin, 
Coleman Advocates; Jamie Motley, student, Wallenberg School; Ansy Hernandez; Marybeth Wallace, Parent 
Advocates for Youth; Alice Hanson; Shineen Lee; Dr. Coco Auerswald, Division of Adolescent Medicine, 
UCSF; Kim Carbuck; AH Weinhouse, Lincoln High School; Dr. Mary Ott, Peditrician; Dr. Alison Gallorath, 
Department of Pediatrics, UCSF; Helynna Brooke, Chair, Mental Health Board; Roni Robertson, Nurse 
Practitioner, Balboa Teen Health Center. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Brown, Yaki 

Absent: 2 - Bierman, Leno 



990749 [Mercury Pollution] 
Supervisor Leno 

Resolution urging City agencies and departments and all medical facilities within San Francisco to eliminate 

their use of mercury and mercury containing products to prevent mercury pollution of air and water and to 

protect food quality. 

4/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

5/13/99, CONTINUED TO CALL OF THE CHAIR. Heard in Committee. Speaker: Supervisor Leno. 

Heard in Committee. Speakers: Francesco Vietor, Executive Director, Department of the Environment; Dr. 
Rajiv Bhatia, Medical Director, Occupational and Environmental Health, Department of Public Health; 
Michael Carlin, Public Utilities Commission; Mike Green, Executive Director, Center for Environmental 
Health; Greg Carras, Community for a Better Environment; Peter Buxton; Paul Ruzzi, Hazardous Waste 
Program. Amendment of the Whole bearing new title presented in Committee by Supervisor Leno. Supervisor 
Brown added as co-sponsor. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING NEW TITLE. 

Resolution urging City agencies and departments and all medical facilities within San Francisco to eliminate to 
protect and preserve human and environmental health. 
RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Brown, Leno 

Absent: 2 - Bierman, Yaki 



ADJOURNMENT 



The meeting adjourned at 3:33 P.M. 



City and County of San Francisco 



Printed at 2:33 PM on 6/14/99 



-th 



Public Library,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



?O-?0 



CITY AND COUNTY 



'0 



M 




OF SAN FRANCISC 



Documents dept. 
jun i o 1999 



BOARD OF SUPERVISORS 



SAN FRANCISCO 

PUBLIC LIBRARY 
BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



June 8, 1999 
TO: ^Public Health and Environment Committee 

FROM: ^Budget Analyst 
SUBJECT: ^June 10, 1999 Public Health and Environment Committee Meeting 



Item 1 - File 99-1020 
Department: 

Item: 



Estimated Total 
Amount of Contract: 



Source of Funds: 



Department of Public Health (DPH) 
Purchaser 

Resolution authorizing the Director of Public Health and 
the Purchaser to execute a contract between the City and 
Health Management Systems, Inc. to provide electronic 
claims submission, retroactive claims reprocessing and 
managed care consulting services. 



$10,029,000 over four fiscal years commencing July 1, 
1999 through June 30, 2003 (see Comment No. 1) 

According to Ms. Diane Keefer of DPH, DPH will pay 
HMS an estimated $2,507,250 for the first-year of the 
proposed contract. According to Ms. Keefer, the funding 
sources for this $2,507,250 is $1,650,000 which was 
requested in DPH's FY 1999-2000 proposed budget and 
the remaining $857,250 would be deducted from 
anticipated revenues that accrue to the City as a result of 
the proposed contract with HMS in accordance with 



Memo to Public Health and Environment Committee 

June 10, 1999 Public Health and Environment Committee Meeting 

Section 5.5 (Collection Services) of the City's Annual 
Appropriation Ordinance. 

Description: The proposed resolution would authorize the Director of 

Public Health and the Purchaser to renew an existing 
contract with Health Management System (HMS), Inc. for 
HMS to provide electronic claims submission, retroactive 
claims reprocessing and managed care consulting services 
for the four-year period of July 1, 1999 through June 30, 
2003. 

In October of 1994, the Board of Supervisors approved a 
four-year contract (File No. 172-94-35) from November 1, 
1994 through October 31, 1998 between the City and 
County of San Francisco, Department of Public Health 
(DPH) and HMS to: (1) provide Electronic Claims 
Submission, whereby HMS reviews data contained in 
Medi-Cal, Medicare and other types of claims to be 
submitted to the State and Federal government for 
reimbursement; (2) to provide Retroactive Claims 
Reprocessing, whereby HMS identifies whether patients 
whose bills have not been paid (delinquent accounts) may 
be eligible for reimbursement under the Medi-Cal and 
Medicare programs; and (3) to provide Managed Care 
Consulting Services, whereby HMS processes data 
contained in managed care claims submitted to the DPH's 
Office of Managed Care. Attachment I, provided by DPH, 
describes in further detail all three of the above-noted 
services which are currently provided by HMS. 

Ms. Keefer reports that, when the prior contract expired 
on October 31, 1998, DPH subsequently extended the 
term of this contract with HMS for the eight-month period 
of November 1, 1998 through June 30, 1999, without 
obtaining approval from the Board of Supervisors. 
According to Ms. Monique Zmuda of DPH, DPH extended 
the term of this contract on a month to month basis 
without Board of Supervisors approval because the 
selection process for a consultant to provide the subject 
claims processing services under a proposed new contract 
took longer than anticipated by DPH. As such, Ms. 
Zmuda states that in order to ensure the provision of such 
services without interruption, DPH extended the term of 
the existing contract with HMS. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

June 10, 1999 Public Health and Environment Committee Meeting 



According to Ms. Keefer, DPH issued a Request for 
Proposal (RFP) on October 10, 1998 for all services which 
are currently provided by HMS. Ms. Keefer reports that 
HMS was again selected as the consultant. DPH issued 
the RFP to 31 firms. Attachment II, provided by DPH, is 
a list of the four firms which responded to all or portions 
of the RFP and a Rate Evaluation for each of the firms 
which responded. 

Comments: 1. Ms. Keefer advises that the total estimated cost of the 

proposed four-year contract with HMS is based upon a 
percentage of total revenues collected by HMS for the City 
by its provision of the subject claims processing services. 
Attachment III, provided by DPH, contains the current 
and proposed percentages of revenues that would be paid 
to HMS by the City under the proposed contract. 

2. Attachment IV, provided by DPH, compares the 
current annual payments and the proposed annual 
payments to be made by DPH to HMS and contains the 
estimated net revenues which would accrue to the City 
under the proposed contract. A summary of the FY 1998- 
99 payments, compared to the proposed FY 1999-2000 
payments, and the related net revenues to the City, is as 
follows: 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
3 



Memo to Public Health and Environment Committee 

June 10, 1999 Public Health and Environment Committee Meeting 



Electronic 
Claims Submission 

Total Revenues 

HMS Fees 

Net Revenues to the City $57,203,952 



FY 1998-99 
(10 months) 
$58,447,138 
(1.243.186) 



Retroactive 

Claims Reprocessing 

Total Revenues 

HMS Fees 

Net Revenues to the City 

Managed Care 
Consulting Services 

HMS Fees 

TOTAL HMS Fees $1,802,886 



$631,359 
(159.700) 
$471,659 



($400.000) 



TOTAL Net Revenues $57,275,611 
to the City 

Recommendation: Approve the proposed resolution. 




FY 1999-00 
$69,000,000 
(1.650.000) 
$67,350,000 



$787,500 
(173.250) 
$614,250 



(S684.000) 
$2,507,250 
$67,280,250 



Harvey M. Rose 



rz 



T 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Steve Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



Attachment I 



ATTACHMENT I 

Services to be Performed by Contractor Electronic Claims Submission, Retroactive 
Claims Reprocessing, and Managed Care Consulting Services 

I. Electronic Claims Submission 

HMS will provide a complete and comprehensive package of accounts receivable 
management and electronic claims submission functions for the CHN. This will include, 
but is not limited to: 

i) A LAN based system installed in the Business Office located at SFGH. 

ii) Electronic billing software to produce claims for tape, electronic and/or 

paper submission to: 

1 . California Medi-Cal and Medi-Cal Managed Care 

2. Medicare Part A and B including Psychiatric and 
Prospective Payment 

System (PPS) billing for Skilled Nursing. 

3. Medicare Part B billing for Professional Component and FQHC 
claims. 

4. Family Planning Access Care &Treatment (FPACT). 

5. All Commercial Insurance Payers 

6. All other payers as required. 

iii) Full time, on-site project management. 

iv) Comprehensive claims tracking for all Federal and State funded 

programs 

v) Compliance with all Payer regulations. 

vi) 'Year 2000' compliance no later than July 1 , 1999. 

II Retroactive Claims Reprocessing 

HMS will provide services to assist in the identification and billing of accounts eligible for 
retroactive recoveries when recipient eligibility was not previously identified by the CHN. 
Eligibility should include Medicare and Medi-Cal and their associated Managed Care 
Plans, and private insurance where appropriate. 

i) DESIGNATED PROGRAMS FOR SERVICES 

Patient services identified by CITY as self-pay or Sliding Scale Eligibility, billed as 
such by Director and determined by Director to have partially or fully uncollectable 
unpaid balances due. 

ii). Additionally, HMS will provide the CHN with updated eligibility, after the initial 

identification and billing is complete, by an automated process, to amend the 
CHN database with third party information. 

III. Managed Care Consulting Services 

HMS will provide overall management of the systems, processes and staff necessary for 
efficient processing of claims and encounters, under the general direction of the Office of 
Managed Care (OMC) and in the context of working alongside OMC employees. 



Attachment II 



.ATTACHMENT EL 

RESULTS OF EVALUATION OF PROPOSALS 

CATEGORY: ELECTRONIC CLAIMS SUBMISSION 

As a result of the evaluation process, the Committee ranked the proposals for ELECTRONIC CLAIMS 
SUBMISSION in order of preference as follows: 



OVERALL PROPOSAL EVALUATION (includes rate) 



AGENCY 


1 


SCORE 


Health Management Svstems. Inc. 


1 


81.60 


I 


RATE EVALUATION 


••■D: AGENCY 


RATE 


SCORE 


Health Management Svstems. Inc. 


125%/ 6% 


20 


I 1 



CATEGORY: CLAIMING OF AGED ACCOUNTS 

As a result of the evaluation process, the Committee ranked the proposals for CLAIMING OF AGED 
ACCOUNTS in order of preference as follows: 

OVERALL PROPOSAL EVALUATION (includes rate) 



AGENCY 


S SCORE 


Health Management Svstems. Inc. 


! 80.40 


On-Line 


1 25.06 


RATE EVALUATION 




AGENCY 


! RATE | SCORE 


Health Management Svstems. Inc. 


1 15%/ 25% | 20 


On-Line 


1 30% . | 16.66 



CATEGORY: MANAGED CARE CONSULTING AND DATA PROCESSING 

As a result of the evaluation process, the Committee ranked the proposals for MANAGED CARE 
CONSULTING AND DATA PROCESSING in order of preference as follows: 



OVERALL PROPOSAL EVALUATION (includes 


rate) 


AGENCY ! 


SCORE 


Genesis Medical Management, Inc 


58.40 


Health Management Svstems. Inc. 


3820 


Shared Medical Systems, Inc. | 


37.40 



RATE EVALUATION 






AGENCY 


I RATE | 


SCORE 


Health Management Svstems. Inc. 


1 S2.40mnDm | 


20 


Shared Medical Svstems. Inc. 


1 S3. 69 urnum I 


13 


Genesis Medical Management Inc 


I S6.20 pmuin I 


7.44 



Attachment III 



(1) Comprehensive Accounts Receivable Management 
and Electronic Claims Submission Services (CAMS) 

Under the current contract, HMS receives 125% of inpatient 
revenues and 6_5% of outpatient revenues for SFGH, and 
12% of outpatient revenues for the Community Oriented 
Primary Care Health Centers within the DPR Tnese fees are 
not to exceed SI, 800,000 per year (SI. 5 for SFGH services 
and S300K for Health Clinics). 

Under the proposed contract, HMS would receive 1 percent 
of inpatient revenues and 6 percent of outpatient revenues, 
throughout the CHN, not to exceed S 1,650,000 per year 
against targeted revenue of S90 million annually. HMS 
would then receive 1.5 percent of inpatient revenue and 6.5 
percent of outpatient revenues collected above the baseline of 
S90 million annually, without any maximum annual limit. 

(2) Retroactive Claims Reprocessing (RCR) Services 

Under the current contract, HMS receives 17.5 percent of 
inpatient revenue and 25% of outpatient revenue collected bv 
the CHN under the RCR program. There is no maximum 
limit 

Under the proposed contract, HMS would receive 15 percent 
of inpatient revenue and 25 percent of outpatient revenue 
collected by the CHN under the RCR program, without anv 
annual maximum limit. 

(3) Managed Care Consulting Services 

Under the current contract, HMS receives 540,000 per month 
for its provision of Managed Care Consulting Services. 

Under the proposed contract, the scope of services is 
expanded to include overall management of the Managed 
Care computer system, Diamond 725, which is integral to 
• claims and encounter processing for the Office of Managed 
Care. In addition, staffing requirements are expanded. 
Under this proposed contract HMS would receive S57,000 
per month for the first two years and S60,000 per month for 
the third and fourth years of the contract for the provision of 
Managed Care Consulting services. 



Attachment VI 



COMPARATIVE ANALYSIS 
CURRENT ANNUAL PAYMENTS TO PROPOSED ANNUAL PAYMENTS 



CATEGORY: Electronic Claims 


Processing 










CAMS 


FY94-95 


FY95-96 


FY96-97 


FY97-98 


FY 98-99 

(10 months) 


Projected 
FY99-00 


Total Revenue 
HMS Fees 

Net Revenue 
to the City 


$60,924,662 
$1,690,245 

559,234.417 


$65,678,298 
$1,006,365 

$64,671,933 


$53,670,006 
$1,488,281 

552.181.725 


$63,293,623 
$1,784,537 

$61,509,086 


$58,447,138 
$1,243,186 

$57,203,952 




p|&69 j 000,000l 


^^S67^5WdS 



CATEGORY: Retroactive Claims Reprocessing 








RCR 


FY94-95 


FY95-96 


FY96-97 


FY97-98 


FY 98-99 

(10 months') 


Projected 
FY99-00 


Total Revenue 


$6,660,189 


$3,195,901 


$2,022,838 


$1,630,669 


$ 631,359 


Slllssl^ 


HMS Fees 


$ 379,843 


$ 355,998 


$ 366,710 


$ 375,538 


$ 159,700 


^^^173%l^| 


Net Revenue 
to the Citv 


$ 6,280346 


5 2,839,903 


51.656.128 


5 1.255.131 


5 471.659 


WBslsittmsoi 



CATEGORY: Managed Care Consulting Services 










FY97-98 


FY 98-99 

(10 months) 


Projected 
FY99-00 


HMS Fees 


$ 320,000 


$ 400,000 


HllllliP^ 



Total Revenue 
Current Contract 


Total HMS Fees 
Current Contract 


Total Net Revenue 
Current Contract 


$ 316,154,683 


$ 8,850,403 


S 307304.280 



Contract 
Period 


Total Revenue 
Proposed Contract 


Total HMS Fees 
Proposed Contract 


Total Net Revenue 
Proposed Contract 


FY 99-00 
FY 99-02* 


$ 69,787,500 
S 279,150.000 


$ 2,507,250 
$ 10,029.000 


S 67,280,250 
$ 269,121.000 



assuming revenue targets are met. 



re. 90 




City and County of j>an Francisco 
Meeting. Minutes 
s Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Tuesday, June 29, 1999 



10:00 AM 

Rescheduled Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



DOCUMENTS DEPT. 



Meeting Convened 



The meeting convened at 10:10 A.M. 

Sup er\'is or Brown noted present at 10:12 A.M. 



JUL 1 - 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 

07-01-99A10 : 33 RCVD 



REGULAR AGENDA 



990958 [Teen Pregnancy, Unprotected Sex, Sexually Transmitted Diseases] 
Supervisor Leno 

Hearing to investigate the issue of teen pregnancy, unprotected sex and transmission of sexually transmitted 

diseases among youth in San Francisco. 

5/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



991009 [Presidio Development Environmental Impact Statement] 
Supervisor Ammiano 

Hearing to review the Presidio Trust's Environmental Impact Statement (EIS) and to request that Planning 
Department begin assembling comments to the EIS from various City Departments and agencies including, but 
not limited to, the Department of Parking and Traffic, the San Francisco County Transportation Authority, the 
Department of Transportation and the Public Utilities Commission. 
5/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Ammiano; Joan Girardot, President, Homeowners Association; 
Michael Paige, Marina Civic and Improvement Association; Steve Krefting; Mike Broslow; Johanna Wald; 
Norma Springman; Laurie Fontatello, Marina Property Association; Patricia Vaughey; John Bardis, 
President, Coalition for San Francisco Neighbors; Emeric Culman; Hilary Gitelman, Environmental Review 
Officer, Planning Department. Continued to July 22, 1999. 
CONTINUED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



City and County of San Francisco 



Printed at 11:10 AM on 6/30/99 



Public Health and Environment Committee Meeting Minutes June 29, 1999 



991 149 (Airport Expansion and Environmental Review] 
Supervisor Ammiano 

Resolution urging the San Francisco Planning Department's Office of Environment Review and the Federal 
Aviation Administration to conduct an open, complete environmental review of the proposed Airport 
expansion that encourages broad public participation and to hold early and open EIS/R scoping hearings; 
urging a draft EIS/R that analyzes in detail all proposed impacts of the project; and urging the San Francisco 
International Airport to provide all information and funding necessary to analyze a runway configuration plan 
that uses the minimum necessary bay fill. 

6/7/99, RECEIVED AND ASSIGNED to Transportation and Land Use Committee. 
6/15/99, TRANSFERRED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Ammiano; Peter Nardoza, Deputy Director, Public Affairs, San 
Francisco Airport; Hilary Gitelman, Environmental Review Officer, Planning Department; Mike Luzzo, San 
Francisco Baykeeper; Phillip Babcock, San Francisco Tomorrow; Mr. Lewis; John Pizzo, Sierra Club; 
Johanna Wald; Steven Krefting, San Francisco League of Conservation Voters. Amendment of the Whole 
bearing the same title presented in Committee by Supervisor Ammiano. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 2 - Bierman, Yaki 
Absent: 1 - Brown 



991 196 [Possible Closing of Mount Zion Hospital] 
Supervisors Ammiano, Katz 

Hearing to inquire into the possible closing of Mount Zion Hospital. 
6/14/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Ammiano, Supervisor Katz; Peter Van Etten, CEO, UCSF 
Stanford Health Care; Dr. John Brown, Emergency Medical Care Section, Department of Public Health; 
Anthony Wagner, Chief Community Network in San Francisco; Eric Potashner, representing Assemblywoman 
Carole Midgen; Corey Menotti, AFSCME 829; Orville Lester, Executive Director, Youth for Service; Michael 
Lightly, CNA; Dan Daniels, NAACP Executive Committee; Fred Becker, San Francisco Labor Council; Julie 
Jones, RN, Mt. Zion Emergnecy Room; Dr. Laurel Hodgson, Mt. Zion Emergency Department; Paul Espera; 
Nick Buick, Russian/American Services; Bill Price; Selena Keene, Ella Hill Hutch Community Center; Shirley 
Bierly, Senior Power; Dr. Warren Gold, UCSF Faculty; Mary Lynch, UCSF Nursing School; Jane Morrison, 
San Francisco Human Services Commission; Frederick Hobson; Kay McVay, Vice President, California 
Nurses Union; Francisco Ugarte, California Nurses Association; John Blumlein, President, Mt. Zion Health 
Fund; Dr. Robert Mendel; Doris Vincent; Fred Seavey, SEIU, Local 250; Patrica Vaughey; Spike Kahn, 
AFSCME; Don Padilla, AFSCME; Mary Higgins; Fred Mayer. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Brown 

Absent: 1 - Yaki 



ADJOURNMENT 



The meeting adjourned at 1:40 P.M. 



City and County of San Francisco 2 Printed at 11:10 AM on 6A0/99 



h.& 




City and County of San Francisco 

Meeting Minutes 

Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday, July 08, 1999 



w 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



Meeting Convened 



The meeting convened at 1:09 P.M. 



REGULAR AGENDA 



990958 [Teen Pregnancy, Unprotected Sex, Sexually Transmitted Diseases] 
Supervisor Leno 

Hearing to investigate the issue of teen pregnancy, unprotected sex and transmission of sexually transmitted 

diseases among youth in San Francisco. 

5/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

6/29/99, CONTINUED TO CALL OF THE CHAIR. 

Heard in Committee. Speakers: Supervisor Leno; Professor Claire Brindis, Department of Pediatrics, UCSF; 
Dr. Jeffrey D. Klausner, Director, STD Prevention and Control Services, Department of Public Health; 
Mildred Kreer, Director, Children, Youth and Families, Department of Public Health; Dr. Janet Shalwitz, 
Medical Director, Children, Youth and Families, Department of Public Health; Neyla Ruwin, Program 
Administrator, Health Services, S.F. Unified School District; Lark Thomas, Program Supervisor, Teenage 
Pregnancy and Parenting Project; Wave Geber, Program Director, Teen Resource to Achieve Pregnancy 
Prevention; Amelda; Selvia; Tracy Brown, Director, Mission Girls Services; Margaret Brokin, Coleman 
Advocates for Children; Aaron Clewis; Berta Guillen. 
FILED. 



ADJOURNMENT 



The meeting adjourned at 2:26 P.M. 



DOCUMENTS DEPT. 

JUL 1 3 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 3:08 PM on 7/9/99 




City and County of£an Francisco 
MeetingJMinutes 
,. Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday, July 22, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



Meeting Convened 



The meeting convened at 1:14 P.M. 

Supervisor Brown was noted present at 1:20 P.M. 



REGULAR AGENDA 



DOCUMENTS DEPT. 

JUL 2 7 1993 

SAN FRANCISCO 
PUBLIC LIBRARY 



991305 [Agreement with the University of California Institute of Health Policy Studies to evaluate the impact of 
drug abuse treatment on demand in San Francisco] 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to enter 
retroactively into a subcontract in the amount of $87,864 with the University of California Institute of Health 
Policy Studies, the primary contractor, to support research activities to evaluate the impact of treatment on 
demand policies, which does not include patent infringement indemnificarion and false claims clauses; 
providing for ratification of action previously taken. (Department of Public Health) 
6/30/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Jim Stillwell, Department of Public Health. Amended to add a Further 
Resolved clause to read as follows: The Controller should be urged to designate the position created under 
the grant as a "G" or grant-funded position, which would terminate when the grant expires. 
AMENDED. 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 2 - Bierman, Yaki 
Absent: 1 - Brown 



991313 [Grant from the California Youth Authority to fund the Second Chance Tattoo Removal Program 
which is designed to serve high-risk youth in San Francisco] 

Resolution authorizing the Department of Public Health, Community Health Network, to accept retroactively 
and expend grant funds in the amount of $71,000 from the California Youth Authority for the Second Chance 
Tattoo Removal Program and to enter into an agreement which does not include patent infringement 
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action 
previously taken. (Department of Public Health) 
7/6/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Alan Gibson, Budget Analyst: Monique Zmuda, Department of Public Health. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



City and County of San Francisco 



Printed at 10:55 AM on 7/26W9 



Public Health and Environment Committee 



Meeting Minutes 



July 22, 1999 



991009 (Presidio Development Environmental Impact Statement] 
Supervisor Ammiano 

Hearing to review the Presidio Trust's Environmental Impact Statement (EIS) and to request that Planning 
Department begin assembling comments to the EIS from various City Departments and agencies including, but 
not limited to, the Department of Parking and Traffic, the San Francisco County Transportation Authority, the 
Department of Transportation and the Public Utilities Commission. 
5/17/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

6/29/99, CONTINUED. Heard in Committee. Speakers: Supervisor Ammiano; Joan Girardot, President, Homeowners Association; 
Michael Paige, Marina Civic and Improvement Association; Steve Krefting; Mike Broslow; Johanna Wald; Norma Springman; Laurie 
Fontatello, Marina Property Association; Patricia Vaughey; John Bardis, President, Coalition for San Francisco Neighbors; Emeric 
Culman; Hilary Gitelman, Environmental Review Officer, Planning Department. Continued to July 22, 1999. 

Heard in Commttee. Speakers: Supervisor Ammiano, President of the Board; Hilary Gitelman, 
Environmental Review Office, Planning Department; Anna Aguirre; Joan Girardot, President of Coalition for 
San Francisco Neighborhoods; Bryan Foster; Emeric Kulman; Jessie Mason. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991246 [Integrated Pest Management Ordinance] 
Mayor 

Ordinance amending Administrative Code (The Integrated Pest Management Ordinance) Sections 39.5 and 
39.6 to transfer the duties of the Agricultural Commissioner to the Department of the Environment. 

(Amends Sections 39.5 and 39.6.) 

6/21/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 7/21/1999. 

Heard in Committee. Speakers: Francesco Vietor, Executive Director, Department of the Environment; David 
Frieders, Director of Compliance, Department of Agricultural/Weights and Measures. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991051 [Asthma Problem] 
Supervisor Becerril 

Hearing to consider the asthma problem in San Francisco, to gather input from experts and community 
members on the prevalence of the problem and its effects on city residents. 
5/25/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Becerril; Tremell Birch; Gladys Fine; Dr. Janet Tynan, S.F. 
General Hospital; Nancy Warren; Vickie Legion, Program Director, Community Health Training and 
Development Center; Gladys Sandlin; Deborah Alvarez, Director, Department of Children, Youth and their 
Families; Marie Hinnki, nurse, San Francisco Unified School District; Veronica Lightfood, School Counselor, 
Dr. George W. Carver School; Neil Gendel; Dr. Sharon Sherman, California Pacific Medical Center; Dr. 
Larry Meredith, Department of Public Health; Jennifer Mann, Community Health, Department of Public 
Health; Karen Cone, Program Manager, Department of Public Health; Francesco Vietor, Executive Director, 
Department of the Environment; Commissioner Shelly Radford Bell, Commission on the Environment; 
Raymond Tomkins; Gabriel Mass, representing Assemblywoman, Carole Midgen; Bonnie Tyson; Anna 
Aguirre. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Brown 

Absent: 1 - Yaki 



City and County of San Francisco 



Printed at 10:55 AM on 7/26M9 



Public Health and Environment Committee Meeting Minutes July 22, 1999 

ADJOURNMENT 

The meeting adjourned at 3:30 P.M. 



City and County of San Francisco 3 Printed at 10:55 AM on 7/26/99 



■th 



Public Library ,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



5 



S90.90 



CITY AND COUNTY 



2A/*7 




OF SAN FRANCISCO 

/ 



BOARD OF SUPERVISORS 



BUDGET ANALYST 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 

DOCUMENTS DEPT. 



TO: 
FROM: 



July 20, 1999 
^Public Health and Environment Committee 
Budget Analyst 



JUL 2 1 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



J 



SUBJECT:^ July 22, 1999 Public Health and Environment Committee Meeting 

Item 1 - File 99-1305 

Department: Department of Public Health (DPH) 

Item: Resolution authorizing the Department of Public Health, 

Population Health and Prevention Division, to enter 
retroactively into a subcontract in the amount of $87,864 
with the University of California Institute of Health 
Policy Studies, the primary contractor, to support 
research activities to evaluate the impact of treatment on 
demand policies, which does not include patent 
infringement indemnification and false claims clauses; 
providing for ratification of action previously taken. 

$87,864 

January 1, 1999 through December 31, 1999 

The Department of Public Health, Community Substance 
Abuse Services (CSAS), is collaborating with the 
University of California Institute for Health Policy 
Studies (IHPS), the primary recipient of a grant from the 
National Institute of Drug Abuse of the National 
Institutes of Health, in a research project titled, Drug 
Abuse Treatment on Demand Impacts in San Francisco. 



Contract Amount: 



Contract Period: 



Description: 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 

The purpose of the research project is to study the impact 
of substance abuse treatment programs that provide 
treatment on demand to injection drug users. 

This resolution proposes a subcontract in the amount of 
$87,864 with the IHPS for DPH to provide CSAS data to 
the University of California IHPS Research Team for 
analysis. Dr. Alice Gleghorn of DPH states that DPH will 
provide to IHPS approximately 12,000 CSAS substance 
abuse treatment files annually which contain data both 
on substance abuse treatment programs and on 
individuals who have participated in DPH substance 
abuse treatment programs since FY 1995-96. No patient 
identification information will be contained in these files. 

Dr. Gleghorn will be responsible for assisting the IHPS 
Research Team in accessing CSAS data. In addition, 
CSAS will be responsible for identifying and hiring an 
Epidemiologist I who will access CSAS data sets and 
transfer the data to IHPS. 

Budget: The budget details for the $87,864 subcontract, payable 

by the University of California to the Department of 
Public Health, are as follows: 

2803 Epidemiologist II 
0.2 FTE @ $69,000 $13,800 

Fringe benefits 3.450 

Subtotal $17,250 

2802 Epidemiologist I 
1.0 FTE @ $44,213 $44,213 

Fringe benefits 8.287 

Subtotal 52,500 

Software licensing fee for Statistical 
Analysis System (SAS) software 1,200 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 

Computer statistical workstation, 
Includes hard drive and software with upgrades 
required for use of special statistical software 

Indirect Costs 



7,500 
9.414 



Total 



$87,864 



Comment: 






1. Although Dr. Gleghorn advises that the 2802 
Epidemiologist I position is to be coded "G", or grant- 
funded, so that the position would terminate when the 
grant funds expire, this subject legislation does not 
provide for the position to be designated as a "G" position. 

2. The subcontract agreement requires that the City- 
waive (1) the requirement contained in Sections 6.21 and 
21.19 of the Administrative Code for indemnification of 
the City by UCSF for the infringement of patent rights; 
and, (2) the requirement contained in Section 6.57(c) of 
the City's Administrative Code reciting false claim 
provisions contained in 6.57(a) of the City's 
Administrative Code. Ms. Jean Fraser, Deputy City 
Attorney, advises that waiving such provisions in this 
contract appear to pose minimal risk to the City. 

3. The Attachment is a summary of the grant application 
information form, as prepared by the DPH, for the 
proposed subcontract. 

4. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

5. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
similar agreements with the University of California if 
the contract recurs or is renewed. 



Recommendations: 



1. Amend the proposed resolution to designate the 2802 
Epidemiologist I position as a "G" or "Grant-funded" 
position. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 

2. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors since this 
resolution authorizes the Director of Public Health to 
enter into similar future subcontracts with the University 
of California without obtaining prior approval of the 
Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



r\ u uauj.uut.ii u 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept &. Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department: Public Health; Population Health and Prevention; Community Substance Abuse - 
Services. 

2. Contact Person: Alice Gleghom Telephone: 255-3722 

3. Project Title: Drug Abuse Treatment on Demand Impacts in San Francisco 

4. Grant Source Agency: UCSF, Institute for Health Policy Studies 

5. Type of Funds: X Federal Federal-State (Pass-Through) State Local X_Private 

6. Proposed (New/ Continuation^ Grant Project Summary: 

The Department of Public Health, Community Substance Abuse Services, is collaborating 
with UCSF, Institute for Health Policy Studies, the prime recipient of a grant from DHHS, 
NIH, National Institute on Drug Abuse. The title of the project is Drug Abuse Treatment on 
Demand Impacts in San Francisco . A subcontract in the amount of $87,864, will support the 
activities of the designated Project Director of the grant, Alice Gleghom, Ph.D., who will be 
responsible for the scientific conduct of the project, and a full-time temporary programmer. 

The purpose of the project is to evaluate the impact of treatment on demand policies. 

7. Amount of Grant Funding Applied for: $87,864 

8. Maximum Funding Amount Available: Not applicable. 

9. Required Matching Funds? Yes: No: X Cash or In-kind: $0 

If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: One, temporary, for the term of the subcontract 
only. 

1 1. If new positions are created, explain the disposition of employees once the grant ends: The 
position is funded for the duration of the study only. 

12. Are indirect costs eligible costs for this grant? Yes: X No: 

If yes, please identify;the amount of $ in indirect costs: $9,414 
6/3/99 



13. Amount to be spent on contractual services: None ,: 

14. a.) Will contractual services be put out to bid?: Yes: No: :N ot applicable 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : Not applicable 

15. Is this likely to be a one-time or ongoing request for contracting out?: One time 

16. Term of Grant: Start-Date: January 1, 1999 End-Date: December 31,1999 

17. Date Department Notified of Available Funds: Not applicable. 

18. Grant Application Due Date: 5/12/99 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): This is a cost-reimbursement type contract through which the DPH 
will be provided with monthly payments in receipt of the University's Subcontractor Invoice. " 
All costs must be based on actual costs, with substantiating documentation. Title to equipment 
acquired under this Agreement will reside with the DPH, subject to HHS right to require 
transfer. Mutual indemnification is required. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 



nature ^7 



Signature 



6/3/99 

5a 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 



; 



Item 2 -File 99-1313 



Department: 



Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 






Project: 



Indirect Costs: 



Description: 






Department of Public Health (DPH) 
San Francisco General Hospital (SFGH) 

Resolution authorizing the Department of Public Health, 
Community Health Network, to accept retroactively and 
expend grant funds in the amount of $71,000 from the 
California Youth Authority (CYA) for the Second Chance 
Tattoo Removal Program and to enter into an Agreement 
which does not include patent infringement 
indemnification and false claims clauses, and waiving 
indirect costs and providing for ratification of action 
previously taken 

$71,000 

January 1, 1999 through December 31, 2001 

California Youth Authority 

Second Chance Tattoo Removal Program 

Indirect costs are not eligible for this grant. 

The Second Chance Tattoo Removal Program of San 
Francisco is designed to serve youth from San Francisco 
who are at risk to become involved in violent or gang- 
related activity. Tattoos are often used by youth gang 
members to identify gang-affiliation, and the presence of 
tattoos can be used to instigate conflict between rival 
gangs. The Second Chance Tattoo Removal Program is 
targeted at youth who want to leave gang life but are 
hampered from entering mainstream lives by the 
presence of the tattoo. 

The Second Chance Tattoo Removal Program makes laser 
surgery available to youth, ages 13 to 24, who request 
tattoo removal to leave gang-related lifestyles. In 
exchange for receiving the tattoo removal services, the 
youth participating in the program are required to 
perform 50 hours of community service. The Program is a 
partnership between San Francisco General Hospital and 
the Central American Resource Center (CARECEN), a 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

6 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 

non-profit community-based organization. SFGH will be 
responsible for coordinating medical laser surgery tattoo 
removal services. CARECEN will be responsible for (a) 
coordinating referrals of youth to the program from 
community organizations and the juvenile justice system, 
and (b) supervision of the community service component 
of the program. 

Second Chance Tattoo Removal Program 

SFGH Ambulatory Care Clinic has two four-hour laser 
tattoo removal clinics per month, for a total of eight 
hours. The goal of the program is to have removed, or be 
in the process of removing tattoos for 455 youths by 
January 31, 2000. SFGH provides $40,434 of medical 
services and supplies annually to support the program. 

Community Service Program 

CARECEN is the lead agency for coordinating referrals to 
the Second Chance Tattoo Removal Program from 
community-based organizations and the juvenile justice 
system. CARECEN also oversees the community service 
component of the program. Youth participating in the 
Tattoo Removal Program are required to perform 50 
hours of community service with community-based 
organizations in such areas as mentoring and/or tutoring 
younger youth, and providing tattoo prevention education. 
CARECEN monitors compliance with the community 
service requirement. 

This resolution would authorize DPH to retroactively 
accept and expend funds in the amount of $71,000 from 
the California Youth Authority for the Second Chance 
Tattoo Removal Program. The grant funds are in the 
form of equipment, consisting of one laser machine and a 
two-year maintenance contract to service the machine. 

Budget: 1 Laser Machine $59,000 

2 Years Maintenance 12.000 

Total $71,000 



Required Match: None 






BOARD OF SUPERVISORS 
BUDGET ANALYST 

7 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 

Comments: 1. According to Ms. Gayling Gee of SFGH, SFGH has been 

providing laser tattoo removal services since 1996. Prior 
to receiving the subject grant in which CYA would provide 
a laser machine to SFGH for use in the Second Chance 
Tattoo Removal Program, SFGH rented a laser machine, 
using funds donated by the San Francisco General 
Hospital Foundation, a non-profit foundation dedicated to 
fund-raising for Hospital projects. 

Between 1996 and 1998 SFGH held approximately one 
four-hour clinic each month to remove tattoos. The SFGH 
Foundation provided funds for the rental cost of the laser 
machine, and physicians at SFGH provided medical 
services to remove the tattoos free-of-charge. 

The Second Chance Tattoo Removal Program differs from 
the original SFGH tattoo removal clinic that existed 
between 1996 and 1998 in that (a) SFGH would incur 
additional costs both for work performed by the 
Registered Nurses and for materials and supplies, and (b) 
the DPH would provide funds to CARECEN to coordinate 
both referrals of youth and the community-service 
program. (See Comment 2). 

Ms. Gee advises that SFGH provides medical services and 
supplies, with a value of $40,434, to the Second Chance 
Tattoo Removal program as follows: 

Surgeons (192 hours @ $100/hour)* $19,200 

Registered Nurses (296 hours @ $35/hour) 10,360 

Eligibility Worker (48 hours @ $22.50/hour)** 1,083 
Medical Records Clerk 

(48 hours @ $20.23/hour)** 971 

Materials and Supplies ($3.50 x 2,550 visits) 8.820 

Total $40,434 

* Although the value of the service performed by the 
surgeons is $19,200, the surgeons perform this work free- 
of-charge, and SFGH incurs no additional costs. 
** Ms. Gee states that the work of the Eligibility Worker 
and the Medical Records Clerk to support the program 
can be done with existing staff, and SFGH incurs no 
additional costs. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

8 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 



According to Ms. Gee, SFGH does incur additional costs 
for the Registered Nurses and for materials and supplies 
to support the program, totaling $19,180. Such funds 
have been included in the DPH FY 1999-2000 budget. 

2. The Department of Public Health allocated $30,000 in 
FY 1998-99 and FY 1999-2000 to CARECEN to provide 
referral and community-service coordination for the 
Second Chance Tattoo Removal Program. The budget for 
the contract with CARECEN is as follows: 

Outreach and recruitment of 

community-based organizations $4,000 

Outreach and recruitment of youth 9, 750 

Case management services for youth 9,750 
Creation of individual community 

service plans for youth 6.500 

Total $30,000 

Ms. Monique Zmuda of DPH advises that funds for the 
contract with CARECEN have been included in the 
Community Health Network FY 1999-2000 budget. 

3. The maintenance agreement for $12,000 is paid directly 
to the maintenance vendor by the California Youth 
Authority and is effective for FY 1999-2000 and FY 2000- 
01. According to Ms. Gee, when the maintenance 
agreement expires, the laser machine will be returned to 
the CYA unless other grant funding for maintenance costs 
is available. 

4. Ms. Gee advises that the proposed resolution provides 
for retroactivity because DPH accepted the grant award 
in the form of a laser machine prior to obtaining approval 
from the Board of Supervisors. According to Ms. Gee, 
DPH received the award letter for the subject grant in 
June of 1998 and received the laser machine on August 
30, 1998. The first Second Chance Tattoo Removal 
Program clinic at San Francisco General Hospital was on 
September 18, 1998. Ms. Gee states that the Health 
Commission Budget Committee approved acceptance and 
expenditure of the award in December of 1998 and the full 
Health Commission approved acceptance and expenditure 
of the award in February of 1999. Ms. Gee states that 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



in 



Memo to Public Health and Environment Committee 

July 22, 1999 Public Health and Environment Committee Meeting 

DPH was delayed in bringing the proposed resolution to 
the Board of Supervisors because San Francisco General 
Hospital was preparing for hospital accreditation in May 
of 1999. 

5. The grant agreement requires that the City waive (1) 
the requirement contained in Sections 6.21 and 21.19 of 
the City Administrative Code for indemnification of the 
City by UCSF for the infringement of patent rights; and, 
(2) the requirement contained in Section 6.57(c) of the 
City's Administrative Code reciting false claim provisions 
contained in 6.57(a) of the City's Administrative Code. 
Ms. Jean Fraser, Deputy City Attorney, advises that 
waiving such provisions in this contract appear to pose 
minimal risk to the City. 

6. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
similar agreements with the California Youth Authority if 
the grant recurs or is renewed. 

7. The Attachment is the Grant Application Information 
Form, prepared by DPH. 

Recommendation: Approval of this resolution is a policy matter for the 

Board of Supervisors because the resolution authorizes 
the Director of Public Health to enter into similar future 
agreements with the California Youth Authority without 
obtaining prior approval of the Board of Supervisors. 




f-/ 7 ^ 






Harvey M. Rose 



cc: Supervisor Bierman Supervisor Teng 

Supervisor Brown Supervisor Yee 

Supervisor Yaki Clerk of the Board 

President Ammiano Controller 

Supervisor Becerril Legislative Analyst 

Supervisor Katz Matthew Hymel 

Supervisor Kaufman Stephen Kawa 

Supervisor Leno Ted Lakey 
Supervisor Newsom 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Attachment 
File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To:The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department: Department of Public Health, Community Health Network, Specialty and 
Diagnostic Services 

2. Contact Person: Gayling Gee Telephone: 206-3528 

3. Project Title: Second Chance Tattoo Removal Program 

4. Grant Source Agency: California Youth Authority, Office of Prevention and Victims Services 

5. Type of Funds:_ Federal __ Federal-State (Pass-Through) X_State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: The Second Chance Tattoo Removal 
Program of San Francisco is designed to serve high-risk youth from San Francisco through the 
network of Partner Agencies who work with the ethnically diverse youth of our communities. 
These Partner Agencies will be coordinated by the CARECEN (Central American Youth 
Center), on behalf of the Mission District Community Peace Initiative which is dedicated to 
preventing youth violence and to helping youth move out of gang-related lifestyles and into 
mainstream society. San Francisco General Hospital Medical Center has opted to contribute all 
health professional services, clinic support services, supplies and clinic space for this effort. 

7. Amount of Grant Funding Applied for. S7 1.000 

8. Maximum Funding Amount Available: $71.000 

9. Required Matching Funds? Yes: No: X Cash or In-kind: 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: 

1 1. If new positions are created, explain the disposition of employees once the grant ends: ? N/A 

12. Are indirect costs eligible costs for this grant? Yes: No:JX 

If yes, please identify the amount of $ in indirect costs: ? 



13. Amount to be spent on contractual services: SO 



1/29/99 
grtapplicform 






11 



14. a.) Will contractual services be put out to bid? N/A 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : N/A 

15. Is this likely to be a one-time or ongoing request for contracting out?: N/A 

16. Term of Grant: Start-Date: 1/1/99 End-Date: 12/31/01 

17. Date Department Notified of Available Funds: 2/23/98 

18. Grant Application Due Date: 4/3/98 



19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 

appropriations legislation): The SFGHMC shall have no obligation to pay Youth Authority 
any rental payments or any other payments for the use of the Equipment At all times title to 
Equipment shall remain solely in the Youth Authority. The Youth Authority shall be 
responsible for normal maintenance and service of the Equipment. The Youth Authority 
shall also be responsible for all costs and initial installation and removal of Equipment upon 
termination of this agreement 



20. Department Head Approval: 



Mitchell Katz, M.D., Director of Health 



Signature 



1/29/99 
grtapplicform 



12 






( 



c 




City and County of San Francisco 

Meeting Minutes 

Public Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102^689 






Thursday, August 12, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 






Meeting Convened 

The meeting convened at 1:18 P.M. 

REGULAR AGENDA 



DOCUMENTS DEPT. 

AUG 1 9 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



991451 [State Grant: Funds to be used for recycling cans and bottles at San Francisco's public and private 
schools to comply with Assembly Bill 939.] 

Resolution authorizing the Solid Waste Management Program to accept and expend $41,650 from the 
California Department of Conservation; waiving indirect costs. (Administrative Services Department) 
7/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Cythina Teng, Senior Administrator, Solid Waste Mangement. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991530 [State grant funds to reimburse the Public Health Department for indigent health care services to San 
Francisco residents] 

Resolution authorizing the Department of Public Health to accept and expend retroactively a grant allocation 
of up to $4,910,208 for fiscal year 1999-2000 funding from the State Department of Health Services for 
California Healthcare for Indigents Program (CHIP) funds for medical services to indigent persons, 
professional services, medical services contracts, materials and supplies, facilities rental, personal services and 
indirect costs in the amount of $60,541, based on 1 1.3% of administrative and fiscal intermediary costs. 
(Department of Public Health) 

8/4/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared for 
the August 12, 1999 meeting. 

Heard in Committee. Speakers: Jeffery Leong, Department of Public Health: Debra Campbell, Budget 

analyst. Amended. Replace "$4,910,208" wherever it appears with "$4,860,674. 

AMENDED. 



City and County of San Francisco 



Printed at 11:22 AM on 8/18/99 



Public Health and Environment Committee Meeting Minutes August 12, 1999 

Resolution authorizing the Department of Public Health to accept and expend retroactively a grant allocation 
of up to $4,860,674 for fiscal year 1999-2000 funding from the State Department of Health Services for 
California Healthcare for Indigents Program (CHIP) funds for medical services to indigent persons, 
professional services, medical services contracts, materials and supplies, facilities rental, personal services and 
indirect costs in the amount of $60,541, based on 1 1.3% of administrative and fiscal intermediary costs. 
(Department of Public Health) 

RECOMMENDED AS AMENDED., by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 



991 109 [Massage Establishments and Massage Services] 
Supervisors Ammiano, Yee, Leno 

Ordinance amending Police Code by repealing Article 27, Section 2700 to 2737, inclusive, authorizing the 
Chief of Police to regulate massage establishments and massage services; and amending Health Code by 
adding Article 28, Sections 1800 to 1828, inclusive, authorizing the Director of Public Health to regulate 
massage establishments and massage services, setting new criteria for the issuance and revocation of massage 
permits, changing certain operating requirements of massage establishments, setting new penalties for 
violation of massage provisions, and continuing an application fee, an identification card fee and a permit fee. 

(Repeals Police Code, Article 27, Section 2700 to 2737; Adds Health Code, Article 28, Sections 1800 to 1828.) 

6/1/99, ASSIGNED UNDER 30 DAY RULE to Housing and Social Policy Committee, expires on 7/1/1999. 

7/7/99, TRANSFERRED to Public Health and Environment Committee. Sponsor requests this item be scheduled at the August 12, 1999 

meeting. 

7/9/99 - Supervisor Leno requested to be added as a co-sponsor. 

Heard in Committee. Speakers: Dr. Mitchell Katz, Director of Health, Department of Public Health; Dr. Jeff 
Klausner, Director, STD, Department of Public Health; Dr. Rajiv Bhatia, Medical Director, Occupational and 
Environmental Health, Department of Public Health; Captain John Erlich, Police Department; Johnna Beyer; 
Maxine Duggan; Leroy Leftcourt; Dawn Pisar, Health Educator; Dr. Carl Gilligan; Tamara Ching; Allison 
Ross, Ad Hoc Coalition for Therapeutic Masssage and Bodywork; Michelle Aldrich; Rod Cotton, California 
Inter-Fitness; Stephen Chang, Ad Hoc Coalition for Therapeutic Masssage and Bodywork; Frederick Hobson; 
Terri Goodson; Lance Bayer; Mike Ege, City Democratic Club; Daisey; Isabelle Currtin; Stacy DeGooyer, Ad 
Hoc Coalition for Therapeutic Masssage and Bodywork; Kevin Minney, Ad Hoc Coalition for Therapeutic 
Masssage and Bodywork; Kerian Kay; Colin Hagerstrand; David Palmer, Co-Chair, Ad Hoc Coalition for 
Therapeutic Masssage and Bodywork; Ethan Willard; Mann Mannix; Erik Beavers; Irene Diamond. 
Amendment of the Whole bearing the same title presented and adopted in Committee. 
AMENDED, AN AMENDMENT OF THE WHOLE BEARING SAME TITLE. 

Ordinance amending Police Code by repealing Article 27, Section 2700 to 2737, inclusive, authorizing the 
Chief of Police to regulate massage establishments and massage services; and amending Health Code by 
adding Article 28, Sections 1800 to 1828, inclusive, authorzing the Director of Public Helath to regulate 
massage establishments and massage services, setting new criteria for the issuance and revocation of massage 
permits, changing certain operating requirements of massage establshments, setting new penalties for violation 
of massage provisions, and continuing an application fee, an identification card fee and a permit fee. 

(Repeals Police Code, Article 27, Section 2700 to 2737; Adds Health Code, Article 28, Sections 1800 to 1828.) 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



City and County of San Francisco 2 Printed at 11:22 AM on 8/18/99 



Public Health and Environment Committee 



Meeting Minutes 



August 12, 1999 



981222 [Methadone Access Waiver] 
Supervisor Newsom 

Hearing to consider the status of the City's efforts to establish a methadone access waiver, to examine progress 

and to identify and formulate next steps. 

7/20/98, RECEIVED AND ASSIGNED to Health, Family, and Environment Committee. 

1/19/99, FILED PURSUANT TO RULE 5.37. 

6/21/99, REACTIVATED PURSUANT TO RULE 5.25. 

6/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Barbara Hersey, Department of Public Health; Hermina Blaloseon, 
Department of Public Health, Redy Somke, M.D.; Steve Highly, San Francisco Medical Society; Daniel 
Abrahamson; Sylvester Flowers; Michelle Aldrich; Frederick Hobson; Tracy Helton, SAGE Project; Dr. 
David Hirst; Ellen Klump. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



990217 [Hepatitis C Prevention, Education, Testing] 
Supervisor Newsom 

Resolution directing the Department of Public Health to develop a plan of action to expand and coordinate 
efforts for Hepatitis C prevention, education and testing and to provide a status update to the Board withinin 
three months. 

2/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Tomas Aragon, Department of Public Health; Alan Francisus, Hepatitis C 
Support Project; Daniel Abrahamson; Brian Klein, Hepatitis C Action and Advocacy Coalition; Dr. Reda 
Sobsky; Rachel McLean, Haight Ashbury Youth Outreach Team; Larry Dow; Steve Highly, San Francisco 
Medical Society. Amendment of the whole bearing new title presented in Committee and adopted. 
AMENDED. 

Resolution directing the Department of Public Health to coordinate with local, state, and federal efforts for 
Hepatitis C prevention, eduction, and testing and to provide a status update to the Board of Supervisors within 
three months. 

RECOMMENDED AS AMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991114 [Y2K Needs Assessment] 
Supervisor Yaki 

Hearing to consider a basic needs assessment for the residents of the City and County of San Francisco for 
Y2K; specifically water, electricity, gas, supermarket supplies and bank readiness, among others. 
6/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
Continued to September 23, 1999. 
CONTINUED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



ADJOURNMENT 



Meeting adjourned at 4:39 P.M. 






City and County of San Francisco 



Printed at 11:22 AM on 8/18/99 



■th 



f 

3 



Public Library,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



CITY AND COUNTY 




Si OF SAN FRANCISCO 
s 



.BOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



August 10, 1999 
TO: ^Public Health and Environment Committee 

FROM: JSudget Analyst 
SUBJECT: August 12, 1999 Public Health and Environment Committee Meeting 

Item 1- File 99-1451 



Department: 
Item: 



Grant Amount: 



Source of Funds: 



Grant Period: 



Indirect Costs: 



Description: 



DOCUMENTS DEPT. 

AUG 1 1 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



Solid Waste Management Program 

Resolution authorizing the Solid Waste Management 
Program to accept and expend $41,650 from the 
California Department of Conservation to be used for 
recycling cans and bottles at public arid private schools. 

$41,650 

California Department of Conservation 

June 1, 1999 through September 30, 2000 

The Department of Conservation does not allow for the 
inclusion of indirect costs 

The San Francisco Recycling Program (SFRP) was 
established by the Solid Waste Management Program 
(SWMP) in 1991 to promote the recycling efforts of San 
Francisco residents. The recycling program was set up in 
response to the Integrated Waste Management Act 
(Assembly Bill 939), enacted by the California State 
Legislature in 1989, requiring that, by the year 2000, 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 

California counties reduce fifty percent of their solid 
waste that would be sent to landfills by implementing 
recycling and waste reduction programs. 

San Francisco produces 7.5 pounds of waste and 
recyclables per person per day, compared to a national 
average of five pounds per person per day. Furthermore, 
San Francisco has no municipal landfill space within the 
City limits and relies upon landfill space at Altamont 
Landfill in Alameda County to meet the City's solid waste 
disposal needs. The current long-term landfill contract 
with Waste Management, Inc., the landfill operator, 
requires that San Francisco maintain a higher rate of 
recycling than Alameda County. To meet this objective 
and to preserve and extend landfill capacity, the San 
Francisco Recycling Program has implemented policies 
and programs to reduce waste disposal. 

The Sustainability Plan for San Francisco, a plan for San 
Francisco's long-term environmental sustainability 
drafted by a collaboration between the City and 
community organizations and approved by the Board of 
Supervisors in July of 1997, proposed increasing the use 
of hands-on environmental education in schools to 
promote the value of natural resources and the need for 
waste prevention and recycling. SFRP has worked with 
the San Francisco Unified School District for the past ten 
years to promote recycling efforts in the schools, by 
providing free recycling bins, class presentations, school 
assembly programs, and field trips. Nearly all of the 255 
schools in San Francisco now have paper recycling 
programs, and a few schools have programs to recycle 
beverage containers. The San Francisco Unified School 
District estimates that the District's nutrition services 
sell 684,000 single-serve beverage containers each school 
year and an additional number of containers are 
purchased in school soda machines or brought to school 
from off-campus. 

The proposed resolution would authorize the San 
Francisco Recycling Program to accept a $41,650 grant 
from the California Department of Conservation to be 
used to promote recycling of beverage cans and bottles in 
all San Francisco middle and high schools. 

BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 



Budget: 



Required Match: 

Source of Matching 
Funds: 



Comments: 



The proposed budget for the subject grant funds is as 
follows: 



Technical Assistant 

(1000 hours @ $20/hour) 
Recycling bins (256 bins @ $62.50/bin) 
Bin labels 
Promotional materials (posters, tee-shirts 

and awards to schools that promote 

recycling) 

Total 
$50,800 



$20,000 

16,000 

150 



5.500 
$41,650 



FY 1999-2000 Solid Waste Management Program budget, 
as approved by the Board of Supervisors 

1. Ms. Natasha Stillman of SFRP states that the 
Technical Assistant would coordinate the development 
and implementation of the school-based beverage 
container recycling project. According to Ms. Stillman, in 
June of 1998 SFRP used grant funds provided by the 
Goldman Foundation to hire a Technical Assistant for the 
purpose of offering technical assistance to the schools to 
promote increased paper recycling in the schools. At that 
time SFRP issued a formal announcement for recruitment 
of the Technical Assistant, who was hired as a 
subcontractor by a private firm, Barnes-Clark, which had 
a professional services contract with the SFRP to provide 
outreach and educational support for neighborhood 
promote recycling. SFRP reimbursed 
using the Goldman Foundation grant 
services of the Technical Assistant in 
and developing the paper recycling 
program in the schools. Ms. Stillman reports that SFRP 
intends to hire the same Technical Assistant to coordinate 
the implementation and development of the school-based 
beverage container recycling project, using the subject 
grant funds, and that the Technical Assistant would be 
hired as a subcontractor by Davis and Associates, the 
private firm which has been awarded a three-year 
professional services contract, effective July of 1999, by 
the Solid Waste Management Program, following a 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



campaigns to 
Barnes-Clark, 
funds, for the 
implementing 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 

competitive bid selection process, for the purpose of 
assisting the SWMP Public Outreach Coordinator in the 
design and implementation of promotional and 
educational campaigns to promote solid waste recycling, 
and other forms of waste reduction and management. The 
Technical Assistant would be directly supervised by the 
SFKP School Education Recycling Coordinator, and Davis 
and Associates would be reimbursed on a work-order 
basis by SFRP, using the subject grant funds, for tasks 
performed for SFRP by the Technical Assistant to support 
the school-based beverage container recycling program. 

2. According to Ms. Stillman, the California Department 
of Conservation notified SFRP of the grant award in July 
of 1999. Ms. Stillman advises that no funds have been 
expended. 

3. The budget for the SFRP matching funds is as follows: 

Technical Assistant travel expenses 

(reimbursement for mileage and parking) $ 800 

Earth Corps program 5,000 
School Education Recycling Coordinator 

(231.67 hours @ $25.9 per hour) 6,000 

Assembly programs 20,000 

Field trips 7,500 

Promotional materials 11.500 

Total $50,800 

Attachment I is a memorandum, provided by the SFRP, 
summarizing the budget for the required match of 
$50,800. Ms. Stillman states that the matching funds 
detailed in the table above have been included in the FY 
1999-2000 SWMP budget. 

4. Attachment II is the Grant Application Information 
Form, prepared by the Department. 

5. The Department has prepared a Disability Access 
Checklist, which is on file with the Clerk of the Board of 
Supervisors. 

Recommendation: Approve the proposed resolution. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

4 



'~COLa~ 



I— / •«- '— — ^ tr. 



/Si. \f\ 






Paee 1 or 2 



SOLID WASTE MANAGEMENT PROGRAM 

RECYCLING PROGRAM • HAZARDOUS WASTE MANAGEMENT PROGRAM 



WILLIE L. BROWN, JR. 

Mayor 

PAUL V. HORCHER 
Director 



DATE: 
TO: 
FROM: 
RE: 



MEMORANDUM 

August 4, 1999 

Harvey Rose, Budget Analyst 

Natasha Stillman, Recycling Program 



Matching Funds Budget- School 
Recycling Grant 



The California Department of Conservation awarded a $41,650 grant to the Solid Waste 
Management Program to improve waste reduction efforts in San Francisco schools. The 
following is a detailed description of the budget for the proposed matching funds. 



Contractor travel expenses (reimbursement for mileage and parking) 


S800 


Earth Corps program 


$5,000 


School Education Recycling Coordinator 




(231.67 hours @ S25.9 per hour) 


S6,000 


Assembly programs 


S20,000 


Field trips 


S7.500 


Promotional materials 


SI 1.500 


Total 


S50.800 



1 . Earth corps is a high school leadership training program. The Recycling Program will 
be working with several of these students this school year. Some of their time will be 
spent promoting the "Join the Challenge, Recycle More" campaign and contest that are 
part of this grant agreement. 



1 145 Market Street, Suite 401, San Francisco, CA 94103 - www.sfrecycle.org www.sfhazwaste.org 
Phone: (415) 554-3400 Fax: (415) 554-3434 - email: sfrecycle@ci.sf.ca.us 

Printed on Recycled Paper 



fage Z or 2 



2. We currently have a professional sendees contract to conduct 50 informative and 
entertaining elementary school assembly programs each year. We would be willing to 
dedicate another S20,000 toward the development of a new assembly program for 
middle and high schools. This program could offer an estimated 40 performances at 
these schools. 

3. We already sponsor a field trip program for which we will dedicate S7.500 to include 
middle and high schools. These educational field trips take students on a trip through 
the transfer station to see what happens to their garbage and recyclables, and to 
emphasize the importance of waste reduction. 

4. Budset for Promotional Materials 



Shoe laces made from recycled plastics S2,000 

Pencils made from recycled newspapers SI. 200 

Promotional stickers S2,500 

Promotional banners S2.300 

Space in SFRP's school newsletter S2.000 

Award ceremony to honor contest winners $1,500 

Total SI 1.500 



I hope that this information is clear and sufficient. If you have any questions, or require 
any additional materials, please feel free to contact me at 554-3422. 



CC: Severin Campbell, Budget Analyst 



File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept &. Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department: Solid Waste Management Program 

2. Contact Person: Karasha sr-nwr) Telephone: 554-3422 

3. Project Title: School Recycling 

4. Grant Source Agency: California Department of Conservation 

5. Type uf Funds: Federal Federal-State (Pass-Through) _f_ State Local Private 

6. Proposed (New / Continuation) Grant Project Summary: 

The grant provides funds for labor and supplies to help increase diversion of 
plastic, glass, and aluminum from school waste streams, vith an emphasis on 
San Francisco's public and private middle and high schools. 



7. Amount of Grant Funding Applied for: ?66,650 



8. Maximum Funding .Amount Available: Offered $41,650 



9. Required Matching Funds? Yes: _f_ No: / Cash or In-kind? Ip - kind 

(Implicitly) 
If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

$6,000- administration; $44,800- professional services/materials and serv ices 

10. Number of new positions created and funded: 



1 1. If new positions are created, explain the disposition of employees once the grant ends? 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-1530 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend retroactively a grant allocation of up 
to $4,910,208 for Fiscal Year 1999-2000 funding from the 
State Department of Health Services for California 
Healthcare for Indigents Program (CHIP) funds for 
medical services to indigent persons, professional 
services, medical services contracts, materials and 
supplies, facilities rental, personal services, and indirect 
costs in the amount of $60,541, based on 11.3% of 
administrative and fiscal intermediary costs. 

Up to $4,910,208 

July 1, 1999 though June 30, 2000 

State Department of Health Service, California 
Healthcare for Indigents Program 

The California Healthcare for Indigents Program (CHIP) 
was established by the State Department of Health 
Services (DBS) in 1989 to provide funds to the counties to 
pay for medical sendees for indigent persons, who are not 
eligible for other private or public healthcare programs. 
CHIP is funded by Proposition 99 (Tobacco Tax) money. 
The counties are able to use CHIP funds to reimburse 
both county and non-county providers for uncompensated 
services for indigent persons who can not otherwise pay 
for the cost of care. 

CHIP funds are used to reimburse (a) participating 
county and non-county hospitals for inpatient, outpatient 
and emergency services, and (b) participating private 
physicians for emergency, obstetric and pediatric services 
provided to indigent persons. San Francisco is one of 
twenty-four counties that annually receive CHIP funds to 
administer directfy. To receive CHIP funds from DHS, 
the City and County of San Francisco must agree to: 

(a) maintain its own level of funding for healthcare 
services, 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

8 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 

(b) provide DHS data on the amount and type of medical 
services used by medically indigent persons and on 
the amount of reimbursement payments to providers 
who care for the medically indigent, and 

(c) provide to children any follow-up medical treatment, 
including prescription drugs and dental care, that is 
determined to be medically-necessary by a public or 
private healthcare provider who has been certified by 
the State to provide medical screening to children as 
part of the State's Child Health and Disability 
Prevention program. 

The proposed resolution would allow the Department of 
Public Health to retroactively accept and expend 
California Healthcare for Indigents Program grant funds 
up to $4,910,208 for Fiscal Year 1999-2000 from the State 
Department of Health Services. 

However, as explained in Comment 6, the FY 1999-2000 
DPH budget includes CHIP funding in the amount of 
$7,961,916, or $3,101,242 more than the actual allocation 
of $4,860,674, which has been revised downward by the 
State from the original amount of $4,910,208 (Comment 
1). 

Budget: A summary budget for the revised grant amount of 

$4,860,674 is as follows: 



Professional Services 


$ 143,797 


Medical Service Contract 


534,568 


Revenue Transfer to San Francisco 




General Hospital 


3,730,599 


Revenue Transfer for City 




Administrative Costs 


391,169 


Revenue Transfer for City 




Overhead 


60.541 



Total $4,860,674 

Indirect Costs: Indirect costs of $60,541, or 11.3 percent of administrative 

and fiscal intermediary costs totaling $534,966 (comprised 
of $391,169 for City administrative costs and $143,797 for 
Professional Services paid to Lifemark, Inc. for fiscal 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

9 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 

intermediary services) will be funded by the granting 
agency. 

Comment: 1. A detailed budget is shown in Attachment I. According 

to Mr. Jeffrey Leong of DPH, the numerical value of 
$4,860,674 in the attached budget differs from the 
numerical value of $4,910,208 submitted in the proposed 
resolution, because the State has revised the amount of 
the allocation to be given to the City and County of San 
Francisco, based on a change in the actual amount of 
Tobacco Tax revenues to be allocated to the counties. 
Therefore, the proposed resolution should be amended to 
reflect the revised amount of CHIP funding. 

2. Mr. Leong states that DHS requires that the County 
have authority from the Board of Supervisors to accept 
and expend the grant funds as part of the grant 
application process. DHS also requires that the County 
present a Description of Proposed Expenditure of 
California Healthcare for Indigents Program (CHIP) 
Funds for FY 1999-2000 by December 15, 1999, which will 
be submitted for Board of Supervisors' approval prior to 
December 15, 1999. 

3. The revised amount of CHIP funds allocated to San 
Francisco for FY 1999-2000 of $4,860,674 (see Comment 
1), are $3,361,875, or 41 percent less, than the FY 1998-99 
CHIP funds allocated to San Francisco in the amount of 
$8,222,549. According to DHS, two factors contributing to 
the decrease in CHIP funding are (a) reductions in the 
estimated Tobacco Tax revenue to be collected by the 
State from $539,000,000 to $390,000,000, and (b) changes 
in the California FY 1999-2000 budget that diverts 
Tobacco Tax funds away from the CHIP-funded county 
services to fund other State health programs. 

4. Mr. Leong reports that $143,797 is budgeted for 
Professional Services and is paid to Lifemark, 
Incorporated, for a professional services contract to 
process medical claims for reimbursement from private 
hospitals and plrysicians, using CHIP funds. Mr. Leong 
states that the amount budgeted in FY 1999-2000 for 
Professional Services is unchanged from the FY 1998-99 
budget because the number of medical claims from 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 

private hospitals and physicians is not expected to 
decrease even though the amount of CHIP funding is 
reduced, and that each claim will be paid, but at a lower 
reimbursement rate. 

5. Attachment II, provided by DPH, contains the 
Department's explanation that the FY 1999-2000 budget 
for administrative costs, which total $451,710 and are 
shown in the budget as revenue transfers for City 
administrative costs and overhead, remains unchanged 
from FY 1998-99, although the County's allocation of 
CHIP funds received from the State in FY 1999-2000 is 
reduced from the County's CHIP allocation in FY 1998-99. 

6. Ms. Monique Zmuda of DPH reports that the 
Department budgeted $7,961,916 in the FY 1999-2000 
DPH budget, based on an anticipated State allocation of 
CHIP funds to the County in that amount. However, the 
actual State allocation of CHIP funds to the County in FY 
1999-2000, in the amount of $4,860,674, is $3,101,242 less 
than the budgeted amount of $7,961,916. Therefore, 
according to Ms. Zmuda, the Department of Public Health 
will experience a $3.1 million shortfall in its FY 1999- 
2000 budget, $2.7 million of which has been allocated to 
San Francisco General Hospital. Ms. Ann Carey of the 
Controller's Office reports that the City expects an 
additional estimated $4,000,000 to $5,000,000 in funds 
will become available from the State's County Assistance 
Program and other State funding sources that can be used 
to offset the shortfall created by the decreased allocation 
of CHIP funds. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

August 12, 1999 Public Health and Environment Committee Meeting 



Recommendations: 



1. Amend the proposed resolution to reflect the actual 
State allocation of CHIP funds for FY 1999-2000 in the 
amount of $4,860,674, in accordance with Comment 1. 

2. Approve the resolution as amended. 




/Harvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

1Z 



City and County of San Francisco 



p£Ei~T~or~T~ 

Department of Public Health 




Au2ust6. 1999 



Ms. Gloria L. Young 
Clerk of the Board of Supervisors 
401 Van Ness Avenue, Room 308 
San Francisco, CA 94102 

Dear Ms. Young: 

Attached are replacement budget tables for the FY 1999-00 CHIP application packet. The 
Department of Public Health is requesting authorization from the Board of Supervisors to accept 
and expend a grant allocation from the State Department of Health Services, through its California 
Healthcare for Indigents Program (CHIP), to provide indigent health care services to residents of 
San Francisco. The authorization resolution has been calendared for the Thursday, August 12 
meeting of the Public Health and Environment Committee, File No. 991530. 

The replacement budget tables have been prepared according to the final FY 1999-00 CHIP 
allocation figures, made available by the State on Monday, August 2. The original CHIP 
application packet contained tables based upon estimated amounts, prior to receiving the final CHIP 
allocation. 

If you have any questions, please call Jeff Leong of my staff at: (415) 554-9162. 
Sincerely, 



flytM & 

Mitch H. Katz, M.D. 
Director of Health 



cc: Controller's Office 
Mayor's Office 
DPH Grants 
Board of Supervisors Budget Analysts 



AB 75 Project 



1540 Market Street - Suite 220 

13 



San Francisco, CA 94102 



^age 2 or 3 



FY 1999-00 AB 75/CHIP REVENUES I EXPENDITURES 
AB 75 Project, SF Dept. of Public Health 
(Phase D, Revised as per State Allocation) 











AS 75/cn: 


P Funas 






i 


. Sub" : 




: ; s; County 


■Non-County-: ■ 


:-:;Non-County-v; 


■piiys - Svcs . 


Phys. 5vcs. 


Other Cry. 


Wtt$M£m-::\ 


object': 


Description 


Hospital 


Hosp.-Form. 


Hosd. -Access 


EMS Fund 


Uetf Cont- 


Hlth. Svcs. 


Total j 


Revenues: 


















AB 75 


4,068,673 


127.435 


127,435 


163,176 


163,176 


210,579 


4,860,674 


Expenditures: 
















1001 


Professional Services 








14,018 


16,318 


16,318 


97,143 


143,797 


1010 


Medical Service Contract 





127.435 


113,417 


146,858 


146,858 





534,568 


4900 


Revenue Transfer to SFGH 


3,620,142 














110,457 


3,730,599 


4900 


Rev. Trans, to CO-Arinrin. 


391,169 

















391,169 


4900 


Rev. Trans, to CO-Over. 
Total: 


57,562 














2,979 


60,541 




4,068,873 


127.435 


127,435 


163,176 


163.176 


210,579 


4,860,674 




Direct Services Share 


0.890 


1.000 


0.890 


0.900 


0.900 


0.525 


0.877 



Notes: 

1) Share of revenues allocated to direct services is different from FY 9B-99: County Hospital - .8897162, 
Other County Health Services - .5245395, Non-County Hospital Access - .89, and Physician Services EMS Fund 



and New Contracts 



.90. 



2) Share of revenues allocated to administrative costs is different from FY 98-99. 



3) Revenue transfer to CO-Overhead calculated at rate of 0.0141469 of County Hospital and Other County Health 
Services revenues, which is different from rate used in FY 9B-99. 



4) Sources for payment of CHDP Treatment Mandate services are 
may not be used to pay for CHDP Treatment Mandate services. 

monies reserved to pay for CHDP Treatment Mandate services, nunm ..«.. ~^..< -». r ~, .-. .. ~- -.„,..... 

Mandate services may be used to pay for any other physician services offered by the CHIP Physician Program. 



as follows: Physician Services EMS Fund 
Physician Services New Contracts - 
Monies not spent to pay for CHDP Treatment 



F:CHPB99-6 



2B-Jul-99 



14 



FY 1999-00 AE 75 PROJECT BUDGET 

AB 75 Project, SF Dept. of Public health 

(Pnese D, Original Board-Approved) 



Attachment I 
i^age 3 or 3 









Annuat . 




m>Wim 




OE CS 


C Class £ Title 


DescriDtion 


Salary 


■ FTE 


pppy 


Amount 


00100 


PERMANENT SALARIES 












1426 


Sr. Clerk Typist 


Clerk Typist-AB 75 


39,621 


1.00 


1.00 


39,621 


1632 


Sr. Account Clerk 


Account Clerk-Fiscal 


39,621 


1.00 


1.00 


39,620 


1654 


Prin. Accountant 


Accountant 


59,965 


1.00 


1.00 


59,965 


1824 


Prin. Admin. Analyst 


Project Coordinator 


75,438 


1.00 


1.00 


75,438 


1823 


Sr. Admin. Analyst 


Project Analyst 


64,551 


1.00 


1.00 


64,551 


258B 


Health Uorker IV 


CHDP Case Manager 


50,564 


0.50 


1.00 


25,282 


2992 


Cont. Comp. Offer. 1 
Step Adjustment 
Attri tion 


Contracts Analyst 


63,288 


0.25 
-0.17 


1.00 


15,822 

(27,989) 

(8,846) 



Note 



01301 
01371 
01401 
014C2 
01501 
C1571 
01601 
01701 
01912 



Net Perm. Salaries: 



5.58 



MANDATORY FRINGE BENEFITS 

Retirement City Miscellaneous 

Retirement Pick Up 

FICA Tax S 6.20% of Permanent Salaries Max S60,600 

FICA Medicare a 1.45X of Permanent Salaries Max $125,000 

health Service S 52,096.00 per Employee 

Health Service Pick Up-Miscellaneous 

Dental Coverage 2 S860.52 per Employee 

Unemployment Insurance 2 0.175*/. of Permanent Salaries 

Lone Term Disability Insurance S 0.42 of Permanent Salaries 



283,464 





23,294 

17,198 

4,124 

12,053 

7,533 

4,948 

481 

1,244 



Assigned PT (Katrina Ramirez, AB 75) 
TX'd 1426 (Anna Cosmides, Fiscal) 
Assigned (Rudy Solis, Fiscal) 
Assigned (Jeffrey Leong, AB 75) 
Assigned (Michele Sampogna, AB 75) 
TX'd 2587 HU III (Sandra Gomez, AB 75) 
Assigned (Judy Matranga, Contracts) 
(1426(6, 474)/1623(11,098)/25B7(3, 523)) 
(1426(7,924)71823(922)) 



Mand. Fringe Benefits: 



70,675 Total Personnel: 



354,339 



G2019 DEPARTMENT OVERHEAD 

C2100 TRAVEL - BUDGET 

D2200 TRAINING - BUDGET 

02300 EMPLOYEE FIELD EXPENSES - BUDGET 

02900 MAI NT SVCS - EQUIPMENT - BUDGET 

03000 RENTS/LEASES - BUILDINGS & STRUCTURES 

03500 OTHER CURRENT EXPENSES - BUDGET 

04000 MATERIALS £ SUPPLIES - BUDGET 

0B1ET Gr-DET-TELEPHONE (AAO) 





60,541 




300 




500 




100 




15,625 


GET 


10,000 




4,410 




3,395 




2,500 


Operating Costs: 


97,371 


Total Expenditures: 


$451,710 



Overhead to City Hall-60,541 

Travel -300 

Staff Develpt. & Training-500 

Mileage-80; Tolls & Parking-20 

Computer Prog. Support from MlS-15,625 

Rent Contribution for 1540 Market-10,000 

Postage-500; Printing-500; Copy Machine- 

3,000; Office Equipment-410 

Off Sppls- 1,775; Dat P res - 725 ;F urn- 895 

Telephone Services for 1540 Market-2,500 



F:PRJB99 



21-Jul-99 



15 



Attachment II 

"ity and County of San Francisco Department of Public Health 

MEMORANDUM 




DATE: August 6, 1999 

TO: Harvey Rose, Board of Supervisors Budget Analyst 



FROM: Jeffrey Leong, AB 75 Coordinator 

RE: Administrative Costs for FY 1999-00 CHIP Program 

The Department of Public Health (DPH) expects a significant reduction in its California Healthcare 
for Indigents Program (CHIP) funds for FY 1999-00. The estimated reduction in overall CHIP 
funds as compared with budgeted FY 1999-00 figures is approximately $3.1 million. These 
reductions apply to funding for programs at San Francisco General Hospital and eight private 
hospitals and with private physicians who serve the indigent population of San Francisco. The 
Department anticipates that alternative State funds will be used in FY 1999-00 to back fill the loss 
of CHIP funding. 

DPH has carefully reviewed its administrative program in light of the above situation. Please note 
that the State has not eliminated nor reduced any of its grant administrative requirements, including 
quarterly and annual Medically Indigent Care Reporting System (M1CRS) data reports and the 
CHDP Treatment Mandate. Also that claims processing for private hospitals and physicians will 
remain at the same volume for FY 1999-00, as providers, who bill 6 months in arrears, will not 
realize the impact of reduced claims payments until later in the fiscal year. As such, the overall 
administrative workload for FY 1999-00 will remain the same as in the prior year. 

We are actively planning for the FY 2000-01 program, looking at opportunities to restructure both 
the program's services delivery and administrative components. Towards this end, we will be: 

1) researching the feasibility of conducting claims processing and adjudication activities in- 
house, without the use of an outside fiscal intermediary. 

2) reviewing State and local policies for the CHIP Hospital and Physician programs to 
simplify claims processing and payment, and pursuing State changes to reporting 
requirements. 

3) reviewing all personnel roles and responsibilities to consolidate assignments, if State 
reporting requirements are reduced, and areas not directly related to core program 
functions. 

We believe that, if successful in implementing these changes, with the completion of FY 2000-01, 
we can provide more cost effective administrative services for the CHIP program without disrupting 
services to the indigent population of San Francisco. 



\B 75 Project 1540 Market Street - Suite 220 San Francisco, CA 94102 

16 



D.&O 



3/11 




City and County of £an Francisco 

Meeting Minutes 

Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102^689 



Thursday, September 23, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



DOCUMENTS DEPT. 



Meeting Convened 



SEP 2 7 

SAN FRANCISCO 
PUBLIC LIBRARY 



The meeting convened at 1:06 P.M. 



991528 [State grant funds for Public Health's long-term care services for frail elderly and disabled adults in San 
Francisco] 

Resolution authorizing the Department of Public Health, Central Administration, to accept retroactively and 
expend a grant in the amount of $50,000 from the State Office of Long Term Care for the Long Term Care 
Integration Project and to enter into an agreement which includes an indemnification clause and rights in data 
clauses, and does not include patent infringement indemnification and false claims clauses. (Department of 
Public Health) 

8/4/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. Department requests this item be calendared for the 
September 23, 1999 meeting. 

Heard in Committee. Speakers: Sovern Camb, Budget Analyst Office; Tangeria Ritter, Dept. of Health 
Services. 

RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991 1 14 [Y2K Needs Assessment] 
Supervisor Yaki 

Hearing to consider a basic needs assessment for the residents of the City and County of San Francisco for 
Y2K; specifically water, electricity, gas, supermarket supplies and bank readiness, among others. 
6/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
8/12/99, CONTINUED. Continued to September 23, 1999. 

Heard in Committee. Speakers: Lester Olmstead-Rose, Government Relations Representative, P.G.&E.; Todd 
Wolf, Member of 911 Team, Pacific Bell; Pamela Sadbury, Senior Vice-President and General Manager, Year 
2000 Project Office, Bank of America; David Medina, Vice-President of Operations, Wells Fargo Bank; Ed 
Harrington, Controller; Andy Ranch Public Utility Commission; Monic Sumoda, Dept. of Public Health; Julia 
Friedlander, DTIS; Lisa Lowry, DTIS; Mike Clark, DTIS; male; Collie Grossburg, Neighborhood Group 
Association Market District. 

CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



City and County of San Francisco 



Printed at 11:19 AM on 9/24/99 



Public Health and Environment Committee Meeting Minutes September 23, 1999 



990578 |Sutro Tower) 

Supervisor Bierman 

Hearing to consider the results of the Dynamic Analysis of Sutro Tower conducted by the Department of 
Building Inspection. 

3/29/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Hanson Tom, Dept. of Building Inspection; Debra Stein, Sutro Tower, Inc.; 
Ron Hamburger, Sutro Tower, Inc.; Carolyn Small, Midtown Terrace Residence Association; Tomas Lee, 
speaking on behalf of Supervisor Ammiano. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Yaki 

Absent: 1 - Brown 



991649 [Lead hazard notification requirements extended to allow time to determine whether the notifications 
performed are effective in educating the landlords and tenants of the dangers of lead hazards in the 
environment] 
Supervisor Bierman 

Ordinance amending Health Code (lead hazard notification) Sections 1615 (Tax Collector) and 1616 (building 
owners) by extending the sunset provision from January 1, 2000 to January 1, 2003. 

(Amends Sections 30.01 and 30.03.) 

8/23/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Neil Gendel, Lead Poisoning Prevention Citizens Advisory Committee; 
Jamon Neu, SF Apartment Association; Joe Walson, Childrens Environmental Health Program. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991615 [Lead Paint Exterior Work Practices Disciplinary Process] 
Supervisor Bierman 

Hearing to consider the Department of Building Inspection's progress in establishing a disciplinary process for 

violators of the 1997 lead paint exterior work practices ordinance (Ordinance No. 446-97). 

8/16/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee. 

9/14/99, TRANSFERRED to Public Health and Environment Committee. Transferred at the direction of the President. 

Heard in Committee. Speakers: Neil Gendel, Lead Poisoning Prevention Citizens Advisory Committee; 
William Wong, Dept. of Building Inspection; Joe Walseth, Dept. of Public Health; Bosa Boham. 
CONTINUED TO CALL OF THE CHAD* by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



City and County of San Francisco 2 Printed at 11:19 AM on 9/24/99 






Public Health and Environment Committee Meeting Minutes September 23, 1999 



991462 [Medical Marijuana] 

Supervisors Leno, Ammiano, Bierman, Katz, Newsom 

Ordinance amending Health Code Section 1009.22 which prohibits smoking, to allow smoking of medical 
marijuana in non-profit medical marijuana buyers clubs. 

(Amends Article 19F, Section 1009.22.) 

7/26/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 8/25/1999. 

8/2/99, SUBSTITUTED. SUBSTITUTED by Supervisor Leno in Board, bearing new title. 

8/2/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 8/25/1999. 

Heard in Committee. Speakers: Supervisor Leno; Ken Haze; Wayne Jusman, SF Patient Resource Center. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



ADJOURNMENT 



The meeting adjourned at 3:30 P.M. 



City and County of San Francisco 3 Printed at 11:19 AM on 9/24/99 



o.sc 



S3 



M 



CITY AND COUNTY 




Public Library, Gov't Information Ctr.. 5 th Fir. 
Attn: Susan Horn, Dept. 41 



oF^ANFRANcisceOCUMENTS DEPT. 

SEP 2 4 19S9 



.BOARD OF SUPERVISORS 



BUDGET ANALYST 



SAN FRANCISCO 
PUBLIC LIBRARY 



TO: 
FROM: 



1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



September 21, 1999 
, Public Health and Environment Committee 
-.Budget Analyst 



SUBJECT:^ September 23, 1999 Public Health and Environment Committee 
Meeting 



Item 1 - File 99-1528 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Central Administration, (a) to accept retroactively and 
expend grant funds in the amount of $50,000 from the 
State Office of Long Term Care for the Long Term Care 
Integration Project and (b) to enter into an agreement 
with the State Office of Long Term Care. Such agreement 
includes indemnification and rights in data clauses. 

$50,000 

June 15, 1999 through June 30, 2000 

Office of Long Term Care, California Department of 
Health Services 

The Department of Public Health is undertaking detailed 
planning for the Long Term Care Integration Pilot Project 
to develop an innovative long term care service delivery 
system for frail elderly and disabled adult residents of 
San Francisco. The goal of the project is to develop a plan 



Memo to Public Health and Environment Committee 

September 23, 1999 Public Health and Environment Committee Meeting 

to provide home-based and community-based services to 
frail elderly and disabled adult residents as an alternative 
to institutional long term care, while recognizing the 
continuing value of institutional care when necessary. 

The Long Term Care Pilot Project Task Force, which is a 
27 member task force comprised of representatives from 
community and provider organizations appointed by the 
Mayor and the Board of Supervisors and representatives 
from public agencies, was established in November of 
1996 for the purpose of developing the Long Term Care 
Integration Pilot Project. The Task Force has previously 
(a) defined the full scope of long term care services to be 
provided, (b) developed the model for the service delivery 
system, and (c) advanced a consumer bill of rights to 
ensure that the long term care service delivery system 
will be consumer-centered and provide improved 
consumer access to information. 

The Task Force is now in the process of: (a) planning for 
the establishment of a Long Term Care Services Agency 1 
for the purpose of coordinating long term care services; (b) 
developing administrative structures and functions 
required to implement fee-for-service managed care; and 
(c) gathering and analyzing Medi-Cal service utilization 
and expenditure data for the initial target population, 
which includes Medi-Cal eligible adults, 18 years or older, 
who either require assistance with daily activities or are 
cognitively-impaired. The comprehensive plan for the 
provision of home-based and community-based long term 
care as an alternative to institutional care for frail elderly 
and disabled residents of San Francisco will be finalized 
when a recommendation is made by the Task Force on the 
permanent and/or transitional long term care services 
agency. Subsequently, the plan will be submitted to the 
State Department of Health Services as San Francisco's 
Proposal for a Long Term Care Integration Pilot Project. 



1 State Assembly Bill 1040, which created the Long Term Care Integration Pilot Program in 1995 to 
improve the delivery system for long term care services for frail elderly and disabled residents in the 
State, requires that a local public or private nonprofit entity be identified as a long term care 
services agency. Sources of funding for the long term care service agency will be part of the financial 
feasibility study to be funded by the subject grant funds. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

September 23, 1999 Public Health and Environment Committee Meeting 

DPH proposes to use the subject grant funds to: 

(a) Retain an outside consultant to conduct a financial 
feasibility analysis of the Long Term Care Integration 
Pilot Project, with an emphasis on the new costs 
identified in start-up and implementation of the Pilot 
Project, including the Long Term Care Services 
Agency, and sources of funding to cover these costs; 
and 

(b) To retain an outside consultant to conduct a study of 
existing long-term care case management programs 
and the funding that supports case management 
programs in San Francisco. The purpose of this study 
will be to determine both the feasibility of creating a 
centralized case management system to coordinate 
long term care services for elderly frail and disabled 
adults, and of integrating case management and 
service authorization functions for long-term care 
recipients. 

Approval of the proposed resolution would allow DPH to 
retroactively accept and to expend the subject grant funds 
in the amount of $50,000 to support the Long Term Care 
Integration Pilot Project. 



Budget: 



Fiscal Consultant 
Case Management Consultant 
Fiscal Agent Services 
Total 



$30,000 

15,000 

5.000 



$50,000 



Required Match: 



Comments: 



Attachment I, provided by DPH, contains budget details 
for the subject grant funds. 

$10,000 in required matching funds will be provided by a 
grant to the Department of Public Health from the 
California Healthcare Foundation in the amount of 
$119,250, which was approved by the Board of 
Supervisors, in January of 1999, covering a grant period 
from January 1, 1999 through December 31, 1999. 

1. According to Ms. Tangerine Brigham of DPH, DPH 
issued a Request for Proposal (RFP) for the Fiscal 
Consultant on June 29, 1999 and proposes to award the 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

September 23, 1999 Public Health and Environment Committee Meeting 

Fiscal Consultant contract to Deloitte and Touche 
contingent on the Board of Supervisors approval of the 
proposed resolution. Ms. Brigham reports that an RFP 
for the Case Management Consultant was issued on July 
30, 1999, but a contractor has not yet been selected. 

2. Ms. Brigham advises that $5,000 allocated for Fiscal 
Agent Services, which is 10 percent of the subject grant 
funds designated for administrative costs, will be used to 
reimburse the Haight Ashbury Free Clinic, an agency 
which was previously selected by DPH in 1998 on a sole 
source basis to provide fiscal agent services. The Haight 
Ashbury Free Clinic has been administering the 
California Healthcare Foundation grant that was used to 
fund the earlier stages of the Long Term Care Integration 
Pilot Project. The Haight Ashbury Free Clinic, as a DPH 
contractor, will administer the contracts awarded to the 
Fiscal Consultant and the Case Management Consultant. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by the California Department 
of Health Services for the infringement of patent rights; 
and (2) the requirement contained in Section 6.57(c) of the 
City's Administrative Code that the agreement include a 
paragraph reciting the false claim provisions contained in 
Section 6.57(a) of the City's Administrative Code. 
According to Ms. Jean Fraser of the City Attorney's Office, 
these requirements apply when the City purchases goods 
or services, not when the City receives funds from a grant. 
Therefore, Ms. Fraser advises that the waivers in this 
case are standard and pose minimal risk to the City. 

4. The proposed resolution contains a provision that 
authorizes the Director of Pub he Health to enter into 
similar agreements with the State Office of Long Term 
Care if the grant recurs or is renewed. 

5. Attachment II is the Grant Application Information 
Form, provided by DPH. 

6. DPH has prepared a Disability Access Checklist, which 
is on file with the Clerk of the Board's Office. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



Memo to Public Health and Environment Committee 

September 23, 1999 Public Health and Environment Committee Meeting 



Recommendation: 



Approval of the proposed resolution is a policy matter for 
the Board of supervisors since this resolution authorizes 
the Director of Public Health to enter into future 
agreements, similar to the subject Agreement, with the 
State Office of Long Term Care if the grant recurs or is 
renewed, without obtaining subsequent approval by the 
Board of Supervisors. 



'h -"V 



Harvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



J.1L I— CJ. \— LUliUll I— -1- 



Haight-Ashbury Free Clinics, Inc. Exhibit A-1 

Grant Funds Page 3 

9/1/99 to 6/30/00 



E. Unit of Service 

One unit of service = one deliverable. 

Financial Feasibility Analysis 
Consultant services . Activities to be provided as "services" include, but are not limited to: 

• Meetings with DPH staff and other DPH consultants. 

• Research and analysis. 

• Development of written report. 

• Presentation to Task Force. 

Financial Feasbilitv Analysis deliverables : Approx. Dates Payment 

Deliverable 1 : Design of survey instrument & agreement of 3 states for survey. 10/01/99 $10,000 
Agreement on consultant's assumptions and methodology. 

Deliverable 2: Progress report, including outline of preliminary findings of 11/01/99 $5,000 

survey and assumptions. 

Deliverable 3: Final report (1 1/30/99) and Task Force presentation (12/10/99). 12/10/99 $5,000 

Deliverable 4: Additions and corrections resulting from the evaluation and 

acceptance of consultant's findings and recommendations. 12/30/99 $10,000 



Case Management Studv 
Consultant services . Activities to be provided as "services" include, but are not limited to: 

• Meetings with DPH staff and other DPH consultants. 

• Research and analysis. 

• Development of written report. 

• Presentation to Task Force. 

Case Management Studv deliverables : 

Deliverable 1: Design of study (including structure, process & timeline). 
Agreement on consultant's assumptions and methodology. 

Deliverable 2: Progress report, including outline of preliminary findings. 

Deliverable 3: Final report (12/30/99) and Task Force Presentation (1/14/00) 

Deliverable 4: Additions and corrections resulting from the evaluation and 
acceptance of consultant's findings and recommendations. 



Approx. Dates 


Pavment 


11/01/99 


$4,000 


12/01/99 


$3,000 


)). 1/14/00 


$3,000 


1/31/99 


$5,000 



Attachment II 
^age 1 of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Public Health; Central Administration, Policy and Planning. 

2. Contact Person: Tangerine Brigham. Telephone: 554-263 1 

3. Project Title: San Francisco's Long Term Care Integration Pilot Project 

4. Grant Source Agency: Office of Long-Term Care, California Department of Health Services 

5. Type of Funds: Federal Federal-State (Pass-Through) X State Local Private 

6. Proposed (New /Continuation) Grant Project Summary: 

The Department of Public Health and the Long-Term Care Pilot Project Task Force are 
developing an innovative long-term care service delivery system for frail elderly and 
disabled residents. This system will improve access to long-term care services by stressing 
the importance of home and community-based alternatives to institutionalization. Significant 
components of the initial planning defined the full scope of long-term care services to be 
provided; developed the model service delivery system; and advanced a consumer bill of 
rights. 

Detailed planning is now in progress that includes: (1) research options for governance 
structure and designating a long-term care services agency; (2) developing administrative 
structures and functions required to implement fee-for-service managed care; and (3) 
gathering and analyzing Medi-Cal service utilization and expenditure data for the initial 
target population. The comprehensive plan will be finalized when a recommendation is made 
on the permanent and/or transitional long-term care services agency. Subsequently, the plan 
will be submitted to the State Department of Health Services as San Francisco's proposal for 
a Long-Term Care Integration Pilot Project. 

The scope of work presented in the grant application focuses on two specific issues: (1) a 
financial feasibility analysis of the new model of long-term care service delivery; and (2) the 
formation of network case management as the foundation of the new service delivery 
system. 

The grant budget will support: (1) a fiscal consultant, budgeted at 530,000; and (2) a case 
management consultant, budgeted at $15,000. The Haight Ashbury Free Clinic is 
contracting with the Department to provide fiscal agent services to administer the grant. 



6/3/99 



Attachment II 
Page 2 of 2 

7. Amount of Grant Funding Applied for: $50,000 

8. Maximum Funding Amount Available: $50,000. 

9. Required Matching Funds? Yes: X No: Cash or In-kind: $10,000 

If yes, list dollar amount and identify source of Matching Funds in Department Budget: 20% 
Match will be met by a grant to DPH from the California Healthcare Foundation in the amount 
of $ 1 1 9,250 which is currently in" place. It was approved as File No. 99-0039. The term is 
1/1/99-12/31/99. 

10. Number of new positions created and funded: None 

11. If new positions are created, explain the disposition of employees once the grant ends: Not 
applicable. 

12. Are indirect costs eligible costs for this grant? Yes: X_No: 

If yes, please identify the amount of $ in indirect costs: $5,000 

13. Amount to be spent on contractual services: $45,000 

14. a.) Will contractual services be put out to bid?: Yes: X No: ( The Financial Feasibility 

Analysis consultant and the case management consultant services will be put out to bid. The 
administration of the grant by the Haight Ashbury Free Clinic will not be put out to bid.) 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 

requirements? : Yes . 

15. Is this likely to be a one-time or ongoing request for contracting out?: One-time. 

16. Term of Grant: Start-Date: June 15, 1999 End-Date: June 30, 2000 

17. Date Department Notified of Available Funds: March 1, 1999 

1 8. Grant Application Due Date: April 14, 1999 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): Grantees are required to provide invoices for any or all budgeted 
items and/or services and complete and submit monthly expenditure reports. The line item 
budget and narrative will become a part of the contract document. Grantees are required to 
provide a 20% match to the grant awarded. One progress report and a final report must be 
submitted. The State owns all rights, title and interest in, but not limited to, the copyright to any 
and all Works created, provided or developed under this grant award. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

Signature 



6/30/99 



9o.%0 



/*hi 




City and County of £an Francisco 

Meeting Minutes 

Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday, October 14, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



The meeting convened at 1:08 P.M. 



991759 [State Grant: AIDS Drug Assistance Program] 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept 
retroactively and expend a grant in the amount of $171,002 from the State Office of AIDS, for the AIDS Drug 
Assistance Program and to enter into an agreement which does not include patent infringement 
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action 
previously taken. (Department of Public Health) 
9/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Herman Levias, Department of Public Health. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991765 [State Grant: Y2K Hazardous Materials Project] 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept 
retroactively and expend grant funds in the amount of $46,816 from the Office of Emergency Services for the 
Y2K Hazardous Materials Project and to enter into an agreement which does not include patent infringement 
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action 
previously taken. (Department of Public Health) 
9/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Gabe Cabrera, Budget Analyst; Ben Gale, Director, Environmental Health, 
Department of Public Health. Amend after "accept" by deleting "retroactively " and inserting after "expend". 
AMENDED. 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept 
and expend retroactively grant funds in the amount of $46,816 from the Office of Emergency Services for the 
Y2K Hazardous Materials Project and to enter into an agreement which does not include patent infringement 
indemnification and false claims clauses; waiving indirect costs and providing for ratification of action 
previously taken. (Department of Public Health) 

RECOMMENDED AS AMENDED., by the following vote: DOCUMENTS DEPT. 

Ayes: 3 - Bierman, Brown, Yaki 



OCT 1 9 1S99 

SAN FRANCISCO 
PUBLIC LIBRARY 



City and County of San Francisco 



Printed at 4:44 PM on 10/14/99 



Public Health and Environment Committee 



Meeting Minutes 



October 14, 1999 



991767 |Private Grant: Universitywide AIDS Research Program] 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept 
retroactively and expend a grant in the amount of $145,421 from the University of California Universitywide 
AIDS Research Program (UARP) and to enter into an agreement which includes rights in data clauses and 
does not include patent infringement indemnification and false claims clauses; providing for ratification of 
action previously taken. (Department of Public Health) 
9/21/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
Heard in Committee. Speaker: Dr. Larry Meredith, Department of Public Health. 
RECOMMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991873 [Landmark designation of the Madame C. J. Walker Home for Girls and Women, located at 2066 Pine 
Street in Lot 8 of Assessor's Block 651, as City Landmark No. 211] 
Supervisors Becerril, Bierman, Brown, Yaki 

Ordinance designating the Madame C. J. Walker Home for Girls and Women, as Landmark No. 21 1 pursuant 
to Article 10, Sections 1004 and 100.4 of the Planning Code. 

(Planning Commission Resolution No. 14880, which approved the landmark designation at its meeting of 
Sept. 9, 1999; Landmark Preservation Advisory Board Resolution No. 14880 adopted June 16, 1999, initiating 
the landmark designation of the property and recommending Planning Commission approval; Landmark 
Designation Report dated June 1999.) 

10/4/99, RECEIVED AND ASSIGNED to Transportation and Land Use Committee. 

10/5/99, TRANSFERRED to Public Health and Environment Committee. Co-sponsor requestst that this item be calendared for the 

October 14, 1999 meeting. 

Heard in Committee. Speakers: Scott McDonald, representing Supervisor Becerril. Supervisors Brown and 
Yaki requested to be added as co-sponsors. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



ADJOURNMENT 



The meeting adjourned at 1:23 P.M. 









City and County of San Francisco 



Printed at 4:44 PM on 10/14/99 



to. 00 

3 



Public Library,Gov't Info. Ctr., 5 th Fir. 
Attn: Susan Horn 



CITY AND COUNTY 




OF SAN FRANCISCO 
s 



BOARD OF SUPERVISORS 



DOCUMENTS DEPT. 
OCT j h 1999 



BUDGET ANALYST SAN FRANCISCO 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 D UBLIC LIBRARY 

FAX (415) 252-0461 



October 11, 1999 

TO: JPublic Health and Environment Committee 

FROM: ^Budget Analyst 

SUBJECT: October 14, 1999 Public Health and Environment Committee Meeting 
\ 

Item 1- File 99-1759 



Department: 
Item: 



Grant Amount: 
Grant Period: 
Source of Funds: 
Project: 
Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention Division to accept 
retroactively and expend a grant in the amount of 
$171,002 from the State Office of AIDS to partially fund 
the administration of the AIDS Drug Assistance Program 
and to enter into an agreement which does not include 
patent infringement indemnification and false claims 
clauses; waiving indirect costs; and providing for 
ratification of action previously taken. 

$171,002 

July 1, 1999 through June 30, 2000 

State Office of AIDS 

AIDS Drug Assistance Program (ADAP) 

The proposed resolution would authorize the Department 
of Public Health (DPH), Population Health and 
Prevention Division to accept retroactively and expend a 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

grant in the amount of $171,002 from the State Office of 
AIDS to partially fund the administration of the AIDS 
Drug Assistance Program for the one-year period of July 
1, 1999 through June 30, 2000. 

The AIDS Drug Assistance Program (ADAP) provides 
AIDS prescription drugs to non-MediCal eligible, low- 
income individuals with a valid prescription from a 
licensed physician. Under the current terms of ADAP, 
individuals with an annual Federal Adjusted Gross 
Income below $32,960 in 1999 receive the subject AIDS 
prescription drugs free of charge. Individuals are subject 
to a co-payment plan (based on their taxable State 
income) for such drugs if their annual Federal Adjusted 
Gross Income is between $32,960 and $50,000 in 1999. 
Individuals with an annual Federal Adjusted Gross 
Income greater than $50,000 in 1999 are not eligible to 
participate in ADAP. 

Mr. Herman Levias of the DPH reports that the State 
Office of AIDS funds all of the costs related to providing 
the subject AIDS prescription drugs under ADAP. 
However, according to Mr. Levias, the costs of 
administering ADAP have previously been solely borne by 
the DPH General Fund budget since ADAP's inception in 
1988. Mr. Levias states that the proposed grant funds of 
$171,002 would be the first time that grant monies from 
the State Office of AIDS have ever been awarded to the 
DPH for DPH's administration of ADAP. 

Currently, ADAP is staffed by the following City 
personnel, totaling approximately 6.0 FTEs: 

• One Class 2917 Program Support Analyst (ADAP 
Coordinator) (0.75 FTE) 

• Nineteen (19) Class 2908 Hospital Eligibility Workers 
(4.25 FTEs) 

• One Class 1426 Senior Clerk Typist (0.50 FTE) 

• Four (4) Class 2920 Medical Social Workers 

• One Class 2930 Psychiatric Social Worker 

• One Class 2586 Health Worker II 

The above-noted four Medical Social Workers, one 
Psychiatric Social Worker and one Health Worker II 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

devote a total of approximately 0.50 FTEs time for ADAP, 
according to Mr. Levias. 

The personnel costs for the positions listed above, which 
are funded in the City's 1999-2000 General Fund budget, 
are shown in Attachment I. 

According to Mr. Levias, the ADAP Coordinator generally 
coordinates the activities related to the administration of 
ADAP and serves as the DPH's liaison to the State Office 
of AIDS. The Class 2908 Hospital Eligibility Workers are 
responsible for screening individuals to determine their 
eligibility for ADAP. Mr. Levias states that although the 
primary duties of the four Medical Social Workers, one 
Psychiatric Social Worker and one Health Worker II are 
not related to ADAP, these City employees are trained to 
screen individuals to determine their eligibility for ADAP. 

Mr. Levias reports that $151,155 of the proposed grant 
funds of $171,002 would be used to partially fund the 
salaries and fringe benefits of the existing nineteen Class 
2908 Hospital Eligibility Workers (4.25 FTEs for ADAP 
Administration) and the existing Class 1426 Senior Clerk 
Typist (0.50 FTE for ADAP Clerical Support) for the one- 
year period of July 1, 1999 through June 30, 2000. The 
salaries and fringe benefits for these positions total 
$287,502. Therefore, $151,155 of the total of $171,002 in 
grant funds would support 52.6 percent of these costs. 

In addition, according to Mr. Levias, the remaining 
$19,847 of the $171,002 in proposed grant funds would 
also be used to cover the costs of the following items: 

1. Telephone Svstem (S7.000) - A telephone system to 
provide callers with information about ADAP, 
including ADAP eligibility and enrollment 
requirements, on a 24-hour, 7-day per week basis. 

2. Awareness Campaign (S3.000) - Development and 
implementation of an advertising/informational 
campaign about ADAP. 

3. Computer Equipment (S7.000) - Two (2) computer 
workstations, including CPUs, monitors, software and 
keyboards, for use by the existing Class 2908 Hospital 
Eligibility Worker positions dedicated to ADAP. 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

4. Materials & Supplies (S2.847) - General office supplies 
such as pens, paper, etc. 



Budget: 



Attachment II, provided by the DPH, contains the budget 
to support the expenditure of $171,002 in grant funds for 
ADAP. 



Required Match: 
Indirect Costs: 

Comments: 



None. 



The proposed resolution provides for the waiver of 
indirect costs because such costs are not allowed by the 
granting agency. 

1. Mr. Levias states that acceptance deadline for this 
grant was August 31, 1999 and as such, the DPH has 
already accepted the subject grant funds. However, Mr. 
Levias states that the DPH has not expended such grant 
funds. 



2. According to the proposed resolution, as a condition of 
receiving the subject grant funds, the DPH has agreed to 
enter into an agreement (the "Agreement") with the State 
Office of AIDS that would require the City to waive (1) 
the requirement contained in Sections 6.21 and 21.19 of 
the City's Administrative Code that the Agreement 
include an indemnification of the City by the State Office 
of AIDS for the infringement of patent rights and (2) the 
requirement contained in Section 6.57(c) of the City's 
Administrative Code that the Agreement include a 
paragraph reciting the false claim provisions contained in 
Section 6.57(a) of the City's Administrative Code. Ms. 
Jean Fraser of the City Attorney's Office advises that 
these requirements apply when the City purchases goods 
or services, not when the City receives grant funds. 
Therefore, the waivers in this case are standard and pose 
minimal risk to the City, according to Ms. Fraser. 

3. Attachment III is the Grant Application Information 
Form, as prepared by the DPH. 

4. The DPH has prepared a Disabilit}' Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

4 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

5. The proposed resolution contains a provision that 
states that the Controller should be urged to designate 
the new positions created under the subject grant as "G" 
or "Grant-funded" positions so that such positions would 
terminate when the grant expires. 

6. The proposed resolution also contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
Agreement, with the State Office of AIDS if the grant 
recurs or is renewed, without obtaining subsequent 
approval by the Board of Supervisors. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Public Health to enter into other future 
agreements, similar to the subject Agreement, with the 
State Office of AIDS if the grant recurs or is renewed, 
without obtaining subsequent approval by the Board of 
Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

5 



ALLdCIUUKUL J. 





■*■» 

ro 
o 

'■3 

o 
■a 



a. 
< 

Q 
< 
O 



- s * 

ro c re 

o c re 

H- < CO 



m 

CM 



a? ^ 

a) a 

c c 

" 

u_ CQ 





CO 


re 


ro 


re 


CQ 


CO 




111 




1- 



CO CD CD t- IT) n 

N LO ^ CO O) ^f 

t- r*-_ n-_ en cd_ o_ 

co" cm" -<fr~ co" m" in" 

CD CD CM CM 
CM 

r r\ e r\ r r^ r <-s r r\ f f\ 



oo m co o o t- 
00 CM CD ^ tj- ro 
CM 03 "fr CD_ CD CD 

"^-" t-" a>" ^" ^" oo" 
oo CD ^ n- r^ cd 






CO LO O) CO CO CD 

^ co oca co o 

co co co 0_ 0>_ cd_ 

cd" cm" cd" m-" ^" cm" 



O O ^ CM cm in 

O) CD O) in CO CM 

co ^ in oi_ o_ ^t 

t^ CD O) CT>" (CD O 

cd "^- oo in in in 

w7 U/ w? w7 w w J 



in in o cm oo co 
N- CM in 00 CO o 

d ^ d d co d 



CO 









CO 








>> .*: 








-^ i_ 








ro o 








5^ 








■c 3r 








o = 








Q-jD 








Q. •— 








3 .2> 








co Qj 






C 


1 « 






o 








ro — 


o 




re 


a) S- 


o 




o 


2 O 


o 

CM 




J3 


i 




"c/5 




a> 




CO 


h- CO 


o> 




re 


1- o 


a> 






cd cd 






O 


CM CM 


>- 




*— > 




LL_ 




c 




CD 




3 

o 


v- G* 






o 




3 


CD 






m 


c 






Q_ 


o 






< 


CO 






Q 


CD 






< 


D_ 







CD 



CD 

*-> i- 

CO O 

*& 
O _ 

l. ro 
o .2 

C "O 
CD CD 

CO ^ 



CD 



ro 
"o 

o 

CO 

o o 

ii 

SI CD 
Q_ X 

CD O O CD 

CM CM CO CO 

f O) O) CO 

t- CM CM CM 



OO 
CD 
CD 

in" 
oo 

00 



re 

*-> 

o 



o 
ro 

CD 



Q. 

3 

"co 

c^ 
_ro 

ro 
co 

Q. 
O 

CD 



o 

Q. 

3 

■D 
CD 
CO 

ro 

JO 

CD 

ro 

"co 
>» 

O 

■a 

CD 

o 

c 

I 


> 

o 

XI 

ro 



.c 

*^ 

o 

_co 

c^ 
CD 

c 

XI 



D) 

C 



T5 

C 

ro 

CO 



_ro 
ro c 

CO o 

o ro 
Z o 



Attachment II 



AIDS DRUG ASSISTANCE PROGRAM 
BUDGET SUMMARY 



1 PERSONNEL 

a) Salaries 

2908 - Hospital Eligibility Workers 
1426 - Senior Clerk Typist 

b) Fringe Benefits (25%) 
Subtotal Salaries/FB 



FTE 


AMOUNT 


2.0 
5 


100,764 
20,160 




30,231 


2.5 


151,155 



2 OTHER 



a) Telephone/Telecommunications 

b) Advertisement 

c) Equipment 



d) Materials and Supplies 
Subtotal Other 



7,000 
3,000 
7,000 
2,847 
19,847 



TOTAL BUDGET 



171,002 



AEtacnment ill 
Page 1 of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 



To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department. Division. & Branch: Public Health, PHP, HIV Services 

2. Contact Person: Michelle Dixon Telephone: 554-9002 

3. Project Title: AIDS Drug Assistance Program 

4. Grant Source Agency: State of California Department of Health Services 

5. Tvpe of Funds (Circle): Federal Federal - State (Pass Through) State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: 

Funds will be used solely for costs associated with the administration of the ADAP enrollment 
screening/recertification process provided by the local health jurisdiction and/or its 
subcontractors. 

7. Amount of Grant Funding Applied For: $171,002 

8. Maximum Funding Amount Available (at time of application): $171,002 

9. Required Matching Funds? (Circle): Yes No Cash In-kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: 

N/A 

10. Number of new positions created and funded: 2.5 

1 1. If new positions are created, explain the disposition of emplovee(s) once the grant ends: 
Positions will be hired on an as-needed basis. 

12. Are indirect costs eligible costs for this grant? (Circle): Yes: No: 
If yes, please identify the amount of $s in indirect costs: 



2/9/99 



tt.i_ud.t_;! mien L lll 

Page 2 of 2 



13. Amount to be spent on contractual services: -0- 

14. a.) Will contractual services be put out to bid? fCircleV Yes: No: 
b.) If so. will contract services help to further the goals of the department's N/A 
MBE/WBE requirements? : 

15. Is this request for contracting out likelv to be : (CircleOne) One Time Ongoing 

N/A 

16. Term of Grant: Start-Date: 7/1/99 End-Date: 6/30/00 

17. Date You Were Notified That This Funding Was Available: 7/19/99 

18. Grant Application Due Date: 8/30/99 

19. Grant Funding Guidelines and Options (selected from RFP. grant announcement or 
appropriations legislation'): 

Upon receipt of the quarterly ADAP invoice, the DHS will reimburse the local jurisdiction for 
administrative costs associated with the provision of ADAP enrollment services in the local 
jurisdiction, not to exceed the maximum amount reimbursable under this Agreement. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

(To be obtained by Grant Manager) 



Aa^/L^\ / 



Signature 



8/18/99 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-1765 

Department: 

Item: 



Grant Amount: 
Grant Period: 
Source of Funds: 
Project: 
Description: 



Department of Public Health 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention Division to accept 
retroactively and expend a grant in the amount of $46,816 
from the Governor's Office of Emergency Services to fund 
a project entitled the YK2 Hazardous Materials Project 
and to enter into an agreement which does not include 
patent infringement indemnification and false claims 
clauses; waiving indirect costs; and providing for 
ratification of action previously taken. 

$46,816 

August 2, 1999 through March 31, 2000 (8 months) 

Governor's Office of Emergency Services 

YK2 Hazardous Materials Project 

The proposed resolution would authorize the Department 
of Public Health (DPH), Population Health and 
Prevention Division to accept retroactively and expend a 
grant in the amount of $46,816 to fund a project entitled 
the YK2 Hazardous Materials Project. The Project seeks 
to assess the readiness of both the City's hazardous 
materials personnel and privately operated hazardous 
materials facilities within the Citj r in order to protect the 
public health and safety of persons in San Francisco from 
accidental releases of hazardous materials due to Y2K 
computer failures. The Governor's Office of Emergency 
Services requested that the DPH perform this project and 
prepare a summary project report as part of a Statewide 
Y2K preparedness project. 

According to Ms. Sue Cone of the DPH, currently there 
are approximately 2,100 private businesses and 
organizations throughout the City that store hazardous 
materials within their facilities. Ms. Cone advises that 
an unidentified portion of these 2,100 businesses and 
organizations are operated and maintained with the aide 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

of a computer system and/or other technology. As such, 
according to Ms. Cone, the proposed Project will include: 

• Identifying and assessing the preparedness of the 
portion of the subject 2,100 private businesses and 
organizations that operate and maintain their 
facilities with the aide of a computer system and/or 
other technology; 

• Conducting a follow-up analysis of a sub-group of the 
subject 2,100 private businesses and organizations, 
which pose a risk for accidental releases of hazardous 
materials due to Y2K computer failures; and 

• Assessing the readiness of the City's hazardous 
materials personnel in the event of accidental releases 
of hazardous materials due to Y2K computer failures. 

Ms. Cone states that $45,570 of the proposed grant funds 
of $46,816 would be used to partially fund the salaries 
and fringe benefits of 11 existing DPH staff to perform the 
subject Y2K Hazardous Materials Project. 

In addition, the remaining $1,246 of the $46,816 in 
proposed grant funds would be used to fund reproduction, 
postage and office supply costs associated with the DPH's 
summary project report to the Governor's Office of 
Emergency Services. 



Budget: 

Required Match: 
Indirect Costs: 

Comments: 



Attachment I, provided by Ms. Cone, contains the budget 
details to support the expenditure of $46,816 in grant 
funds for the proposed Project. 

None 

The proposed resolution provides for the waiver of 
indirect costs because such costs are not allowed by the 
granting agency. 

1. As noted above, the proposed resolution provides for 
retroactive acceptance of the subject grant. However, 
according to Ms. Cone, the DPH has not accepted the 
proposed grant funds. Therefore, the proposed resolution 
should be amended to delete reference to retroactivity 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

with respect to the acceptance of the subject grant. In 
addition. Ms. Cone states that because the granting 
agency required the DPH to prepare a preliminary- 
assessment of the Y2K preparedness of hazardous 
materials facilities and personnel in the City prior to 
DPH's acceptance of the subject grant, the Department 
incurred expenses against the proposed grant funds prior 
to obtaining approval from the Board of Supervisors. 
Therefore, the proposed resolution should be amended to 
provide for retroactivity with respect to the expenditure of 
the subject grant. 

2. According to the proposed resolution, as a condition of 
receiving the subject grant funds, the DPH has agreed to 
enter into an agreement (the "Agreement") with the 
Governor's Office of Emergency Services that would 
require the City to waive (1) the requirement contained in 
Sections 6.21 and 21.19 of the City's Administrative Code 
that the Agreement include an indemnification of the City 
by the Governor's Office of Emergency Services for the 
infringement of patent rights and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the Agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57(a) of the 
City's Administrative Code. Ms. Jean Fraser of the City 
Attorney's Office advises that these requirements apply 
when the City purchases goods or services, not when the 
City receives grant funds. Therefore, the waivers in this 
case are standard and pose minimal risk to the City, 
according to Ms. Fraser. 

3. Attachment II is the Grant Application Information 
Form, as prepared by the DPH. 

4. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

5. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
Agreement, with the Governor's Office of Emergency 
Services if the grant recurs or is renewed, without 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

12 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

obtaining subsequent approval by the Board of 
Supervisors. 

Recommendations: 1. In accordance with Comment No. 1 above, amend the 

proposed resolution to (a) delete reference to retroactivity 
with respect to the acceptance of the proposed grant funds 
and (a) provide for retroactivity with respect to the 
expenditure of the proposed grant funds. 

2. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors since this 
resolution authorizes the Director of Public Health to 
enter into other future agreements, similar to the subject 
Agreement, with the Governor's Office of Emergency 
Services if the grant recurs or is renewed, without 
obtaining subsequent approval by the Board of 
Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



u'_ i -\c (-i^^y i r- 44 



DPH 



415 252 3910 p.ei 

Attachment I 



Local Y2K Hazardous Materials Project 

Revised Budget 
October 7, 1999 



Reproduction 
Postage 

Office Supplies (Envelopes, Labels) 

Staff Time* 

1 - 6139 Sr. Industrial Hygienist 

5 - 6122 Sr. Env. Health Inspectors 

2 - 6138 Industrial Hygienists 

3 - 6120 Env. Health Inspectors 

TOTAL 



45 hrs @ S98/hr 
210 hrs@S98/hr 

84 hrs @ S98/hr 
126 hrs @ S98/hr 



246 
900 




4,410 
20,580 

8^32 
12^48 

S46,816 



* Rates for all job classifications are the same because terms of the contract 

stipidate that we bill at the prevailing hourly rate which is S98 per hour for all 

Zl^^T™*™ thC Hazardons ^terials Program. This hourly rate b 
established in Article 21 of the San Francisco Health Code. ^ 



Post-It" brand fax transmittal 


memo 


7571 *°* 


p*o» ► 


/ 


^&><X.beCoL b*rf/Z 


iPrem 


Suu. 


CosU-r 




Co. 




Co. 








Dope. 




p * one 'j2~£-±'39 9/ 




*~*1±£ 


"*¥£/ 


Ptx# 









TOTAL P. 01 



14 



Page I of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department. Division. & Branch: Population Health and Prevention, Community Health 
and Safety Services, Environmental Health. 

2. Contact Person: Sue Cone Telephone: 252-3991 

3 . Project Title: Y2K Hazardous Materials Project 

4. Grant Source Agencv: Governor's Office of Emergency Services 

5. Tvpe of Funds (Circle): Federal Federal-State CPass-Through) State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: Participate in the assessment of the 
Y2K readiness of hazardous materials facilities and handlers in order to protect public 
health and safety from potential Y2K related accidental hazardous materials releases. 

7. Amount of Grant Funding Applied For: S46,8 1 6 

8. Maximum Funding Amount Available fat time of application - ): $46,8 1 6 

9. Required Matching Funds? (Circle): Yes No Cash In-kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: Not 
Applicable 

10. Number of new positions created and funded: None 

1 1 . If new positions are created, explain the disposition of emploveefs) once the grant ends: Not 
applicable 

12. Are indirect costs eligible costs for this grant? ('Circle'): Yes No 

If ves. please identify the amount of Ss in indirect costs: Not applicable 

13. Amount to be spent on contractual services: None 



9/15/99 



15 



Attachment II 
Page 2 of 2 



14. a..") Will contractual services be put out to bid? CCircleV Yes: No: Not applicable 

b.) If so. will contract services help to further the goals of the department's MBEAVBE 
requirements? : Not applicable 

15. Is this request for contracting out likelv to be : One Time or Ongoing? (CircleOne): Not 
applicable 



16. Term of Grant: Start-Date: 8/2/99 



End-Date: 3/31/00 



17. Date You Were Notified That This Funding Was Available: 8/24/99 

1 8. Grant Application Due Date: 10/15/99 (Date on which initial report is due; see Attachment 
A: Scope of Work, C.3.) 

19. Grant Funding Guidelines and Options ("selected from RPP. grant announcement or 
appropriations legislation! : (1) A report on Contractor's activities to prevent Y2K related 
accidental releases of hazardous materials in its jurisdiction is due to the State by 10/15/99 
(2) Reimbursement will be made to Contractor for actual personal services costs incurred in 
performing the identified activities and direct expenses including printing and postage; 
travel and per diem except for required meetings and equipment costs which are not eligible 
for reimbursement 



20. Department Head Approval: 

(To be obtained by Grant Manager) 



Mitchell Katz, M.D., Director of Health 



Signature ^-nf 



9/15/99 



16 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

Item 3 - File 99 - 1767 



Department: 
Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Description: 



Department of Public Health 

Resolution authorizing the Department of Public Health 
(DPH), Population Health and Prevention Division to 
accept retroactively and expend a grant in the amount of 
$145,421 from the University of California's 
Universitwide AIDS Research Program (UARP) to 
conduct a study entitled "HIV Prevention Policy: The Role 
of Community Planning Groups." The proposed resolution 
also authorizes DPH to enter into an agreement which 
includes rights in data clauses and which does not include 
patent infringement indemnification and false claims 
clauses; waiving indirect costs; and providing for 
ratification of action previously taken. 

$145,421 

July 1, 1999 through June 30, 2001 (2 years) 

University of California's Universitwide AIDS Research 
Program (UARP) 

The Department of Public Health (DPH), Population 
Health and Prevention Division has accepted grant funds 
from the University of California's Universitwide AIDS 
Research Program (UARP) to conduct the two-year study 
entitled "HIV Prevention Polic3" The Role of Community 
Planning Groups." According to Ms. Valerie Kegebein 
Rose of the DPH, Community Planning Groups (CPGs) 
are groups of local public health officials and community- 
based health care professionals, which are assembled in 
various jurisdictions throughout the State to develop 
strategies for treating persons with HTWAIDS and 
establish interventions against the contraction of 
HIV/AIDS. Ms. Rose states that the proposed Study is a 
collaborative project between the DPH and the UCSF 
Center for AIDS Prevention Studies, which seeks to 
examine the influence of CPGs on health care policy- 
making at the local, State and Federal levels of 
government. Ms. Rose states that the proposed Study will 
include: 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

17 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

• Administering a survey of approximately 500 members 
from among 57 CPGs throughout the State; 

• Conducting a follow-up analysis of a sub-group of the 
subject 500 CPG members; and 

• Reviewing current documents produced by CPGs in 
order to determine their influence upon AIDS related 
health care policy and legislative initiatives. 

Ms. Rose reports that a portion of the proposed grant 
funds will be used to hire one to three new Class 9924 
Public Service Aide - Health Services positions, totaling 
0.20 FTEs, to administer the subject survey of the 500 
CPG members approximately in January of 2000 until the 
grant expires on June 30, 2001. According to Ms. Rose, 
the employment period of each new position will not 
exceed 3 months or a total of 480 hours. Ms. Rose advises 
that the new Class 9924 Public Service Aide - Health 
Services positions will not receive any fringe benefits 
because, according to Ms. Alice Villagomez of the 
Department of Human Resources, temporary City 
employees must work at least 1,040 hours per year to be 
eligible for such benefits. 

Budget: A summary budget for the proposed Stud}* for each of the 

two years of the grant period through June 30, 2001, is as 
follows: 

Year 1 - Julv 1. 1999 through June 30. 2000 



Personnel (0.20 FTE) 
Supplies and Expenses 
Travel 
Indirect Costs 

Year 1, Subtotal 

Year 2 - Julv 1. 2000 throu< 


$53,295 

4,275 

1,580 
14.788 
73,938 

rh June 30. 2001 


$73,938 


Personnel (0.20 FTE) $54,161 
Supplies and Expenses 1,180 
Travel 1,845 
Indirect Costs 14.297 
Year 2, Subtotal 71,483 

Grand Total 

BOARD OF SUPERVISORS 


71.483 
$145,421 



BUDGET ANALYST 

18 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 



Required Match: 
Indirect Costs: 
Comment: 



None 

$29,085 

1. Ms. Lucille Burlew-Lawler of the DPH states that the 
acceptance deadline for the subject grant was August 31, 
1999 and as such, the DPH previously accepted the grant 
funds. Ms. Burlew-Lawler states that the DPH has 
already received grant funds of $73,938 from UARP for 
the first year of the proposed Study. However, Ms. 
Burlew-Lawler states that the DPH has not expended any 
of the grant funds. According to Ms. Burlew-Lawler, 
funding for the second year in the amount of $71,483 is 
contingent upon satisfactory scientific progress during the 
first year of the proposed Study as demonstrated through 
a progress report by the DPH. Ms. Burlew-Lawler states 
that if such satisfactory scientific progress is not achieved, 
the proposed Study would be terminated unless other 
funds are obtained. 



2. According to the proposed resolution, as a condition of 
receiving the subject grant funds, the DPH has agreed to 
enter into an agreement (the "Agreement") with UARP 
that would require the City to grant UARP the royalty- 
free and nonexclusive right to use the data collected 
under the contract. 

3. The Agreement also requires that the City waive (1) 
the requirement contained in Sections 6.21 and 21.19 of 
the City Administrative Code that the Agreement include 
an indemnification of the City by the California 
Department of Health Sendees for the infringement of 
patent rights; and, (2) the requirement contained in 
Section 6.57(c) of the City's Administrative Code that the 
Agreement include a paragraph reciting the false claim 
provisions contained in Section 6.57(a) of the City's 
Administrative Code. Ms. Jean Fraser of the City 
Attorney's Office advises that these requirements apply 
when the City purchases goods or services, not when the 
City receives grant funds. Therefore, the w r aivers in this 
case are standard and pose minimal risk to the City, 
according to Ms. Fraser. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

19 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 

4. The Attachment is the Grant Application Information 
Form, as prepared by the DPH. 

5. As shown in the Attachment to this report, the DPH 
applied for a total of $115,911 in grant funds for the 
proposed two-year Study. However, Ms. Burlew-Lawler 
reports that UARP awarded the Department a grant of 
$145,421, or $29,510 more than the requested amount of 
$115,911. 

6. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

7. The proposed resolution contains a provision that 
states that the Controller should be urged to designate 
the new positions created under the subject grant as "G" 
or "Grant-funded" positions so that such positions would 
terminate when the grant expires. 

8. The proposed resolution also contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
Agreement, with UARP if the grant recurs or is renewed, 
without obtaining subsequent approval by the Board of 
Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

20 



Memo to Public Health and Environment Committee 

October 14, 1999 Public Health and Environment Committee Meeting 



Recommendation: 



Approval of the proposed resolution is a policy matter for 
the Board of Supervisors since this resolution authorizes 
the Director of Public Health to enter into other future 
agreements, similar to the subject Agreement, with UARP 
if the grant recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 




Harve3 r M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

21 



Attachment 
Page 1 of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 



To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department Division. & Branch: Public Health, PHP, CHP&P, HIV Prevention Section 

2. Contact Person: Valerie Kegebein Rose, Co- Telephone: 415-554-9023 

Principle Investigator 

3. Project Title: HIV Prevention Policy: The Role of Community Planning Groups 

4. Grant Source Agencv: University of California Universitywide AIDS Research 

Program (UARP) 

5. Tvpe of Funds ( Circle): Federal Federal - State (Pass Through - ) State Local Private 

6. Proposed (New/Continuation) : 

Grant Project Summary: This grant is a collaborative project between the San Francisco 
Department of Health and the UCSF Center for AIDS Prevention Studies. The study is a 
descriptive analysis of CPG members' perceptions, actions, roles, responsibilities, and 
intentions related to health policy making. The study will also examine the actual 
influence of CPGs on policy at the local, state, or federal level. Participants will consist of 
the 500 California CPG members from among the 57 CPGs, including San Francisco. 
Participants will be asked to complete a semi-strucrured, self-administered survey. A 
subset of CPG members will also be asked to provide key informant interviews for more 
in-depth qualitative analysis. A systematic document and legislative review will be 
conducted to identify HIV-related health policy and legislative initiatives. 

7. Amount of Grant Funding Applied For 

$59,125: year one; 556,786: year two. Total: SI 15,91 1 

8. Maximum Funding Amount Available fat time of SlOO.OOO/yr. 
application): 

9. Required Matching Funds? Yes No Cash In-kind 
fCircle): 

If ves. list dollar amount and identify source of Matching Funds in Department Budget : Not 
Applicable 



22 

2/9/99 



10 - Number of n 







fe No; 



£§£ No . 



J6 " ^SO^lofGrant. Cf 

— Start-Date- r . , 

- December, 19 98 



J une30,200] 



19. 




a renevva, oo^?™** 8 re P°"- AwLl CO,,abo ™ive invest^ ^ scie "Wc 



20 - ^oanrneru Head a 

eab y Grant Manager) 



Mit cbeIJKat 2 M n tv 

2 ' M ^ Erector of Health 



8/18/99 



s 'gnature 




23 



City and County of San Francisco atyHaii 

J J * 1 Dr Car ton 



1 Dr. Carlton B. 



H JJs# \V\ ^Meeting Minutes Goodlett place 

sLm^CTrl r) San Francisco, CA 

9)0 ^^KsSW*) Public Health and Environment Committee 94102^689 

x^fsTj^^ Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 



i/n 



Clerk: Deborah Muccino 



Thursday, October 28, 1 999 1 :00 PM City Hall, Room 263 

Regular Meeting 

Members Present: Sue Bierman, Amos Brown, Michael Yaki. 

DOOUMENlSUbP T, 



Meeting Convened •'"N 2 4 

SAN FRANCISCO 

The meeting convened at 1 : 08 P. M. PUBLIC I I R R A D V 

CONSENT AGENDA 

All matters listed hereunder constitute a Consent Agenda, are considered to be routine and will be acted upon 
by a single roll call vote of the Committee. There will be no separate discussion of these items unless a 
member of the Committee so requests, in which event the matter shall be removed from the Consent Agenda 
and considered as a separate item. 

991911 | Accept and expend 36 recurring State grants to the Department of Public Health] 

Resolution authorizing acceptance and expenditure of State grant funds by the San Francisco Department of 
Public Health for 1999-2000. (Public Health Department) 

10/6/99. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
RECOMMENDED.. 



991945 [Agreement with State Department of Rehabilitation to provide vocational services to HIV/AIDS clients 
who are San Francisco residents) 

Resolution authorizing the Department of Public Health, Community Health Services, to enter into a 
Cooperative Program Agreement with the State Department of Rehabilitation San Francisco District, including 
a required match of $100,000, to provide vocational services to HIV/AIDS clients, which does not include 
patent infringement indemnification and false claims clauses. (Public Health Department) 
10/13/99. RECEIVED AND ASSIGNED to Housing and Social Policy Committee. 
10/18/99. TRANSFERRED to Public Health and Environment Committee. 

Amended title page 1 line 3 of the Title, after the word "authorizing" by inserting ", RETROACTIVE TO 
OCTOBER 1, 1999" and page 1 line 24 after the word authorized add ", retroactive to October 1, 1999, ". 
AMENDED. 

Resolution authorizing, retroactive to October 1, 1999, the Department of Public Health, Community Health 

Services, to enter into a Cooperative Program Agreement with the State Department of Rehabilitation San 

Francisco District, including a required match of $100,000, to provide vocational services to HIV/AIDS clients, 

which does not include patent infringement indemnification and false claims clauses. (Public Health 

Department) 

RECOMMENDED AS AMENDED.. 

City and County of San Francisco 1 Printed at 11:50 AM on 1/9/01 



Public Health and Environment Committee 



Meeting Minutes 



October 28, 1999 



The foregoing items were acted upon by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 



REGULAR AGENDA 



991668 [Recreational Drugsl 

Supervisors Leno, Newsom 

Hearing to consider ways to respond to rising social use of the drug gamma hydroxy butyrate (GHB) and 

copycat drugs such as Blue Nitro including assess current research on medical and social dangers and assess 

outreach and educational efforts by public agencies and community-based organizations that encourage harm 

reduction among communities which use this drug. 

8/23/99. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

10/12/99. SUBSTITUTED. Submitted by Supervisor Leno in Board, bearing new title. 

10/12/99. RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Leno; Jim Stillwell, San Francisco Dept. of Public Health; Al 
Abramowitz, San Francisco Dept. of Public Health, CSAS; Dr. Jo Ellen Dyer, Poison Control Center; Dr. 
Chris Carrington, Harmony/SFSU; Glenn Raswyck, Haight Ashbury Rock Medicine; Craig Waldo, UCSF; 
Emanual Sferio, Dance Safe; Theo Rsenfeld, Mind Body Love; Steven Ellen. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991560 [Suicide Among San Franciscans] 
Supervisor Leno 

Hearing to consider the public policy implications and prevention efforts to reduce suicide among San 

Franciscans. 

8/9/99. RECEIVED AND ASSIGNED to Housing and Social Policy Committee. 

10/13/99. TRANSFERRED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Leno; Maria Martinez; Dr. Peter Foerster, Medical Director San 
Francisco Community Health Services; Dr. Larry Meredith, Health Promotion and Prevention Center; Eve 
Meyer, Executive Director, San Francisco Suicide Prevention; Evelyn Lee, Executive Director, Richmond 
Area Multi-Services Center; Anne Tamar-Mattis, LYRIC Youth Talkline Director; Diana Bogard, Haight 
Ashbury Free Clinic, President of Substance Abuse Providers Association; Jennifer Friedenbach, Homeless 
Coalition; Lieutenant Dirk Beijen, Police Department; Sgt. Joe Kennedy, Police Department; Sgt. Forrest 
Fulton, Police Department; Lauren Swiger, San Francisco Suicide Prevention Volunteer Coordinator; Dr. 
Ervin J. Jindrich, Goldengate Suicide Barrier Coalition; James LaPoint, Coalition on Homelessness; Tom 
Gomez, Coalition on the Homeless. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 

Ayes: 2 - Bierman, Brown 

Absent: 1 - Yaki 



ADJOURNMENT 



The meeting adjourned at 4:15 P.M. 



City and County of San Francisco 



Printed at 11:50 AM on 1/9/01 



Public Library, Gov't Information Ctr.. 5 th Fir. 
Attn: Susan Horn, Dept. 41 



CIO 



Itity 



CITY AND COUNTY 




OF §AN FRANCISCO 



JBOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



DOCUMENTS DEPT, 
OCT 2 9 1999 



October 26, 1999 
TO: '^Public Health and Environment Committee 

FROM: ^Budget Analyst 

'v 

SUBJECT: ^October 28, 1999 Public Health and Environment Committee Meeting 

4L4 



SAN FRANCISCO 
PUBLIC LIBRARY 



•^ 



Item 1- File 99-1911 

Department: 

Item: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept and expend State grant funds in the total 
amount of $16,469,070. 

According to Section 11.1 of the Administrative Provisions 
of the Fiscal Year 1999-2000 Annual Appropriations 
Ordinance, recurring grants, included in the 
Department's annual budget submission, that were 
previously approved by the Board of Supervisors in the 
annual budget, do not require separate authorization by 
resolution of the Board of Supervisors for the acceptance 
and expenditure of such grants. However, the agencies of 
the State of California that provide grant funds to the 
DPH require the Department to provide documentation of 
the Board's approval of their grant funds (State 
Administrative Manual Section 1208.2(a)). The proposed 
resolution would authorize the DPH to accept and expend 
State funding for 36 recurring grants, totaling 
$16,469,070 (see Comment 1). These grants were 
previously approved by the Board of Supervisors in the 
FY 1999-2000 DPH budget. 



Memo to Public Health and Environment Committee 

October 28, 1999 Public Health and Environment Committee Meeting 



Comments: 



1. The Attachment, provided by DPH, contains a list of 
the State grants provided to DPH for FY 1999-2000. 
According to Ms. Monique Zmuda of DPH, of the 
$16,469,070 in State funds, $15,576,786 of the grant 
funds were for direct program costs and $892,284 were to 
pay for the City's indirect costs. 



2. As noted above, approval of this proposed resolution 
would be consistent with the FY 1999-2000 
Administrative Provisions of the Annual Appropriation 
Ordinance previously approved by the Board of 
Supervisors. 



Recommendation: 



Approve the proposed resolution. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Attachment 
Page 1 of 5 



< 

UJ 

_i 

o 
m 

oxl 

a t- 

52 ^ w 
£$£ 

u i O 

-7 CO 

a. 
u_ 
O 



< 

u. 

o 



LU 



ID 

o 
o 



CO 

o 

^ o 

ai cn 

2 d, 

l— o 

>:!£> 

t UJ u. 
O Q CD 

cr 

0£ 

3 
O 
UJ 

<r 



■i ° 

>• £ 



S. £ 

m I < 



■3 I 
3 i 



£i 



o! 






u si $;=■ 

_r! ■ = l = ! 

«o|f • I °; 
— i c ! a. « ■ 

g! " «; " 

• i « I S : 

-nit.' 



2 ■*•■ 



n S "I 

5 . 2 ' 



0) 

0. 



' — y l 
■ S' o 

E 2 

O J 
U O I 



2 




(D 




> 


© 


<D 


J 














>. 


c 









u 


ra 


- 


r 


u 


o 


^ 


? 


* 










c 


U 


ra 


£ 


c 


a 














<D 





$15 






all 

X!" 

o s\ 



\S 



o j 

" ° 

s 8! 

1 2: 



! I 

; i 
! i 



°\ ! 



S! I I 



■3 — ~ 

C — 

o ss 
u J 



<u ■ 
X! 



C t" 

; o i 

■* 9-1 

°l 
ro 



•i > 



CQ 



"- E 



<l 



— C C 

-5 "- 
u 



s^fi 






(J u « 

•5 «■ 

= «5 





>- = 

ID . = 


> - 

tn . = 


! </) . = 

I = c E 


(J « fl 

•5 "- 


°|£; 


-5 "- 


= «3 


= •»; 


; = * 








U 


u 


o 



I 1 



I 



Attachment 
Page 2 of 5 






< 



a 

UJ 

o 



^ ^ en 
O 



X 2. 

O ° 

3 S en 

O H oi 

O | 2 

> Q. > 

I— LLI L!_ 

Q 



UJ 

< 

I- 
co 
o 
o 
o 

CM 



o 



O 

X 

x 

x 
=> 
o 

LU 

x 





I 


1 i 


i ; 


1 


r i 


j 




, i ] 






j : 




i 




i 


| 1 










1 


1 I 


1 




i 




1° 






1 | 




i 






! 










■ i ! 


1 






; 




! = 1 


























- : 


: 


1 


| 






1 » 






' ! 1 










; 












j 


1 


j 


i 




- 




1 


1 








i 


in \ 










»_ 


! 


i 




■ 




1- 


j 


! ; 








1 


CO i 










o J 1 


1 i 


! 


! 


I .: 




1 E 




! i 1 




1 




1 


-i 1 








! 


JC i i 

J2 ! 


. O I 


°i 


i 


j (A ■ 

1 "S 1 




S i i 


1 >•• 


i 1 




in 


CO i 


t\ 


>. 








« ! 


i 


(/I 1 




. ' i 

O ■ 


> c ! 

IS 1 




! £ l5 j 




i ° 

{ i !; 


« 


1 i£ 


Q 1 1 

<! 1 


CD!-3 
V)- = : 


"c ; 


o 

O 1 
CT» 

o» 

> 
U. . 

« i 

ii 

<a : 

of • 

p 1 


e 1 

(0 

k. 
C) 

s 

a. 

m 

*c 
<u 

1 

> 
X 

. 


c : 
2 ' 

i ■ 

Si 

O | 
M l 

o 

- 

ii 1 

Si 

e : 

Oil 

« } 

■3 1 

■oi 
c : 
<a i 

II 

© 1 

s 


ii 

a.! 

co ] 

>«i 

u. 

CI' 

_c 
"in 

1 

O 

X 


Si 

r : 

ii 

a 

l\ 

c ; 

<a 

a 

! 

I 

CD 
> 

s 

1 


E : 

O 1 
u i 

5 i 

o 

■ 1 

CO 

E 

Cl. 
O 

© 

> 

| 

a 
"5 

CD 
O 

I 
a 

c 


I! 
i! 

Ii 

i! 

si 

_c , 

c ! 

a 1 
_o 1 

El 

< I 

1 

< | 


I 

J 

o ■ 
ra < 
co > 

w 

1 

IS 

E 
w 

c 

CD 
CD 

•- 


CD 

o 
-a 
m 
o 

IA 

(D 
(J 

£ 

in 

a 

c 
"3 

M 

c 
5 

o 
■3 
C 
(Q 

U 
nj 
ts 

o 


a 
U 

9 
C 

s 
1 


n 

I ol 

: £■: 

(0 

! E 
a 
o 

5 

I £ 
■ ! 5 

1 i £ 
i : <o 

UJ 

! i 
i 

i I 


■3 

(D j 
<D 

o 

i i 
II 

(• <B 1 

&s 

I ! 

i i 

I I 

| ! 
I 

o 


ffl 

UJ 
< 


E! 

■ ! 

■2| 
•> 

g:2 

•» 1 w 
O 1 o 

si! 

< i "= 

>l 

c i 
« 1 

"® i 

c! 

E i 
o , 
O ; 


i ° ' 
! fil| 

! m 

v>',-\ 

Si 

' ii s| 

XI • j 

j ill! 

i£ ! « i 
' oi 2 1 

! s i ii 
= i 

; 121 

1 1 1 


U 
5 

a 

c 
o 

u 

o 

A 
O 

« 



wt 
to 
CD 

CD 

E 
o 


1 £ 1! 

CD = 

2i 

w S 

OI o 

S-i =■ 

2.: o | 
31 « 

a- 

S 8 

% i 

x « 

P 2 

3IO 

= 1 5k 

il 

o 5 




oili 

C: = 
e- © 
= 12 
CO j © 

«i 

t^' to 
— : o 
OJ . — 

21 « 

en f c 

© 1 CO 

XI £ 
-5 ; o 

"i EC 

lie 

CO 


Ei 
o 

"! 

> 

JO ■ 

(J 1 

2 J 
o I 
o. . 
« 1 

"i 

4A 1 

C9 ! 

2i 

CO 1 

* 

1! 

■5 I 

n 1 


! 




to ! 








1 








i | 


M 




i 


' 1 










Q; 


i 


I 


i 


|i 








i 

■ 








: ! 
I 


tt 




I 


! i 1 










< : 


1 


i 


1 


l 

i 








I 
j 








; i 
i 


t 1 

to | 




j 
I 


• 1 

i ! i 
i 




i 

1 

1 




1 1 


i 


i 




i 








1 


i 




i i i 


1 


i 




! i 




j 


1 




u 




u 












i " 


-! i 


! 




1 






j 


| 
Si i 


2 « 


! 

; 








! 


n 






' 2 >.l : 

1 ■ m i 

; • • I 


Si i 
Si ! 


: : I 
: i i 

, si ; 

Wl 1 




1 £\ 

\ s i 

1 2 




■ !5 

O < CO 
U CM 


© i 
> 

O ! 

■2 ■ 
«D ■ 




O o 




O o 






! 


a 






Co 


o' ' 






i ® < 








-± ! O 
e! I 


U o 

2 S 


i ; 

1 ! 


•3 £ 

s S 








M 

i ? 






1 U u | 


«) i 

o : 

a: ! 


^1 ! 


^ 1 




! Ii 




o 2 


"3 
















j*. 






















™" 1 


"2 2 


! | 


"5 2 








CO 






;x> £ i 


o: 


j i 




s«l 




ss:« 


— i 


1 


-x a> 

a *» 


i i 


- « i 

" 












! J: a I 
!o "1 


5*1 


! 




i Si 




i « ° 


O 1 


1 


■z. 


. 


2 




i 


i 




i 2 ! 




j ! 
j i 




; 1 

i i i 


r 


j 


1 (A 






i j 






; 




■ ; 


: 






i 1 


i 




° o 




, 


1 












i i 






i 
1 I 


, i 


i 


«?! o 




! 


1 






r- ! 




! ! ! 


o> i 


co : 




1 




1 o 




SI o 


o 


j i 


a I 




. ; 


m ' 




«A> 








o 
o_ 


| 


1 m 
1: 


' 1 


>- i £ 




i I 








ri. 










1 «"'*"• 


ri" ■ 




"■■i'a 




i ; 


j 




i 


v* ' 




: ; 


i "* : 


i 




] 1 


V» 




i - 






; 




1 ; 


j 








i 




1 1 

1 


! 1 


1 


O 1 p 
O 1 t 

«. < 


o 
o 
o 


| 


1 

O 1 

1 o ■ 


j 


i j 


i 

1 o ' 

: o 
i M ' 




o 

o > 
O ; 


i .1 ' 

i s; ! 

1 a, 


CO 




! ! i i 

1 o , o 
! o ' o 




C» i ~ 




i i 


en'i 


I 


1 | 






Oi 


i m ■ 






cTi 1 V 




> ; IS 


QC 




O i 






"^ ; 




1 ° : 
C7 i 

i ! 


".. 


r» ■ 




O ID 




"-IS 

i 


M 


i 
i ! 


! ] 


I 

! 


i j 
j i 


Wfrl 

! i 




w» 


«*>' 




s j a 

( ! 1 ! 1 




| = 


O 


| ; 


1 t» ! 




; 


i ° ■ 




o : 


O : 


i O 




i 


o 




! C 


' o 








i ' 


O ; 




; o i 


O I 


O 




O ' 


o 




O i t 




! 




























5 


1 


n I 




I 


O ' 




O ! | 




1 5 ■ 




o ! 


s 




ri 


1 j 


S ' 






n ; 




t-i ; ' 


o • 


rs t 




r> , 


r» 




tr» ■ H" 


— . 






















«Z 






a> i — 


to 


| 


«■ i 


I 




! 3 




<o 


" . ' 


?i 




"?l 


•? 




H S 


oi 




a* ! 






d» : 




o> i 


1 ™ 


Oi . 




o> , 


o» 




i ^ 


i ! 


at i 






OT ' 




a> 


1 2 


o> 




1 o> ' 


1 2 




U- - 








l 






















1 (J 




: 
































i 






















i 






O ' 




j j 


^ 




r- i 


1 ■» 


^ ! 




i *"■ ! 


; k 




i 
1 % 

© ' (J 


« 
a 


i 

■ 

I i 


O | 

o 


i 




CM 
CO 

CN 




O i 


o • 

1 3 


O I 
O ' 




o a 
| o, | o 




« i 2 


*t 


! 


co ; 






m 






« 


n • 




| C* 1 | w 






3 




a> 


i 








> 


> 


> , 








</5 1 c 


< 




o 










< i 


< 


< 1 




mil' oi 




I o 






^- . 


















1 ^ ^ 




; c_> 


C 

2 


; 


> 




' 






O 


o 

2 


O ' 

2. 




a i { a> 




>». 




















(B 




I in i n 




u 


< 


i 


a> 




1 


CD 




o 


© 


^ co 




i ^ © ' H? « 




3 


( 


i ; 


« 




! 


« 




o 


M 


^ — 








CI I 


u 


5 i ; 


cn i 


i 




V) 




w 


<7j 


CD 




• a © 




< 








. 












U_ 




iu. ! : i u. 
















— 












I 




___ • £ 






— 


! 




2 — 








£ . 




' 1 = ; ' = 








i . 








« •" 


















3 < 




O co i 






O co 








■ 


; 


i is • I s 




Ii 1 


1 ,„ >" = 




st-f! 






2 --1 




2 > 


js > 


OB 




«i © 
|2;i | <n — 




a D 

Q_ ■ ■£ 


i -5 u 


i ] 


s| |; 










O * 


o — 


O « i 




|o 5 1 u ; 






— • 


5 


= od : 






= «5 








s 




© ! 1 © 




(7 


> — 

o 




u 






5 








5 




S 2 





Attachment 
Page 3 of 5 



2 5 



< 

LU 

_1 

Q 
LU 

Oil 
O H- 
£ ^ CO 

^S 

u i O 

■z. £Q uj 

co °- < 

O O co 
o 
o 

y S 

en 

en 

Ctt cn 

t UJ li. 

O Q o 

cr 
cr 

o 

LU 

or 



H 
2 

8 J r: 



5 



15 



5IH 







| 


| 






■ j 






e 1 






° i 




"3 








O ' 


£ 


B 

"3 


i! 


n 







U 




o 














o 


*G 


51 { 


F 


ra 


2 


01 


— 


- .' 






-i ! 


cn 




o S 


-», 


nj 


_ i CO . 


CO 


c 


* 3i 




CD 


_-' O 1 


• 


E 


o | a.: 


< 


>. 




oti 3 


s ' 1 

•C4 1 1 


— 1 o 




5!S 


Js i 


<i - 




CO 


o 


i "° i 




«n 


c 




4> 
















: 


h 




cn 

i 


i 


i 



oi 5 i = 

ttisjl 

OI — 

Sig, 

— j "D ! .3 

£ ill 

<!- 1 

co » S 



CO £1 



c: 
o 


E 






cn : 


o 


C 




E. 

OT 

3 


-3 
C 

£ 


< 


Q 


uv 


o 






ru 


c 


ci] 


<D 


> 


t- 



Ill 



I ra ' 

I a I 



SI 



CD' >- . 



Ol 



-SIS! 



Ol „ i 

i II. 

a- i! 5 
O! Si - 

& - 1 



oi 



£ >>! 



o o ' 

2 "I 

I u 2 i 
£ SI 
? 2| 



I 



3! 

u I 

»l 



51 



-! 






c: 








CD I 


F 


cn 


« 


CO 


>. 

• 


c 


o 


o 


■3 










cn 


E 


p 


o 






o 

r 


•o 
c 






_ 


o 






o 


(0 










cn 

N 


3 

F 






3 


fc 



E -i 

o! 51 

= S! 
< 



cn I — o 
w . i o 2 



O 

jai-gi 

J2!rai 

o|§ 

■g!Sl- 

«i o! . 

<D l"- | 
o ; c ' 

lisi 



2c- 



N i O ffl *- 



111! 

•N I E I . 



e _ 

£: 8 



Si j | 



i i 






I* 



! I 



HI; 



— U 

SI: 



I I 



i ! 



I ! 



! i 



! li 



R I 



21 



i l2 . ; 

| != ! 

; I » i 

|1S ! 



ct I -2 



<' i 



R! I 



<2 x 



ico £1 

• 2 I 

! c : 

O i 

2: 

I 



■a < 



<n 


< 


4 


cn 


X 


S 


o 


UJ 



= OT 

<n 2 ° 

^ = >3 

2 = 



X c ■ 



10 



Attachment 
Page 4 of 5 



< 

LU 

I 

=3 
Q 
UJ 

52 ^ CO 

£o£ 

u 1 CD 

z S. m 

C/j °- < 
.. u_ (- 

O W 

h- ^ O 

d2 di 

O h o 

> Q. > 

t UJ L. 

O Q o 

cr 

cr 

3 
O 
UJ 

cr 



o 



2 I 





■o 








c 








™ 

















o 








l/» 








u 








c 








*0 




| 










P u- 


• 




2! S 


o 




«■" 




oi E 


u 






a> 




Q.: 2 

a 

Oil "3 


o 
< 


1 


c; > 


>. 










C s 


m 










re 


- 


u 




u 




.=• 




h- 


rc 


p 




Q 


2 


3 




h- 


w 


p 




CO 


ti 


3 






a 


• 






c 
























n 
























Q 




1 




i- 






1 

i 

i 


, in 

: 







S.\l S-i 
^ ! "5 " I 

0) I = o 

CO I • 

in I = 



3 1 " 

oi= 2 

H llal 






I ! 



_0: a ; 

Eifi 

coi== ; 



!| * 



o i ~ : = i 



\ < ! 
z ; 



His = 



r 












n 






in 






c 




















a 




> 
a 







= "Oi 

2; O 
g Oi 



!"0 I 



l-l 3 



•a o 

3 M 



I -I 



mi 

o 

o 



r 2 



a ^ I 



«> 

ml 
OI 
CO 

_c : « • — : 

Oj|, -! 

Ml II o< 

oi St*; 

ft. El-oi 
■Oi-o ! 2 I 



hi 



■ I > ■ 



|i 



ll 

ra > 

o • 

o ® 

(0 "3 

o S 

_i. o 

■° ™ 



O — 



OI I j 



s it: 



i « i ■ i 

; O ! o i 

fes! 

I OI •> I 
CO! S- 



HIS I 2 
"5 i £ ! "o I 

Si? " 

■Ol " 
LU ! „ I e 

_ | Ci • 

"lei £ 
a I .£ 



c! 



Ji C i 

ci - 

Q «| 



I ■'. I 



- r.OI 



I- 



I !_ 



i '« 



" C 






O I 

o •> I 
, u a I 

! — U I 

;S"S! 

I — a I 

! -o •> ! 



25 i 



I I 



I 12! 



I ! 



I i 



• i I 



! i i 



I »! 



I i 



! i 



I ! 



I I 



Q.. ; 




Oi i 




Ol 




Oi 




mi 








■ o ; 




p: - : 




5i si 








Cll S 1 




Oi o ! 








a.i£! 




i -O I 




Oi = ! 




?l Ol 


o 






oi=; 


s 


Ol 5 | 










ej , u 




Ol" 1 




c; e"l 


e 


re i o < 




<->!* 


o 






COI = 




O I "° 








fc!* 




o i " 




Ol S 








■a! ■= 




c: 




re i 





m 1 



■=: I 



io i 






a! 



2 ! 



SI 



ol 



Ki i 



f- . i i <o . 

5 is; 



&\ i 







1 1 




i 


2 ' ' 


en 


> 


i! | 


n 


21 1 


u 


Q 


•»! 




h- 






<S1 


— ! ! 



S o 



= o • 



«! 2 E .Z . 

0. - S O : 

= o 2 

u — 



a. i 



uj c ; 



n u 2 i 



uj a; 






— c I 



Attachment 
Page 5 of 5 



< 

_l 

X 
Q 

UJ 

X 

o 

CO 



£o 



CD 

UJ 

I- 
< 



I— ° 

— 2 

^- o 

UJ <n 



tr 

X 
O 
UJ 
(X 









ill III 

1 


: i , , I 


1 


i 




j : 


j | 


1 


1 












1 


i ; 


1 








i 


5 


1 












' 












1 




1 












' 


1 ! 








S 1 


! 

t t 


■X ! 


* 


i ! 








! 


SI 


• 






i 1 


1 


u 1 





i 




1 




| 


1 in i 1^1 i 


! .* 


; ! 




1 


1 


O! 


c 






1 




1 


.W O ! 5 ■ O'SI O 


1 i 

? ! 




1 

3 1 


III 


i 


ul 

m|-a 

<fl! E 
glut 

ID itJ- 


• 
- 


| 

M | 

S 1 










O ' 

O 1 


llis! 1 Si-sig-l 

oiSlf; | o.i|,5| 


< u 1 

£i>: ! 1 




SI 

!! 


! 

— - ■ m\ 
ra 1 a X, 


"5 
"ra 


O 1 




1 


o i 

en i 

CT) 1 

> ! 




a> 1 ■= 

31 Ul 
"3 '; * 


u 1 

• 1 


"*■ ■ 


3 

21 

s 


(/JIT- 

.- I* 

ra! m 


2 


• 


Si 
• 1 








U. j 


■o 1 o i "= i ' c : 5 i 9 


oli-S; s: 


k: « 


<+ 1 


3 : ^ 


I|J 
?|1 

TO ■ O 

"ra is 

®!ra 
X. 

(B X 

Si c 
ci ra 


ra 


> 








« > 

Ij 
« i 
<n i 

] 
i 
i 

! 


c 
ra 
ra 

6 

_> 

! 2 
o 

a 

= 
o 
O 

i 


ul «l 
>• = ' 

Sl-Sl 

• 1 ra 1 

?! 5: 

• 1 1 

— : B 1 

c ! 3 1 

I ft 

5 \l 

r 
1 




(0 

c 

ra 


3 
■0 
UJ 
CO 

a 

< 


5 

>. 

a- 
_5 






2 

O 

« 
<D 
U 

£ 

<D 

« 
C 

« 

u 

% 

CO 


=> : 1 f : 
- c 
^ ; u • 1 
(fli-3 " j 

™l S ■ i 
|_1 « 

xi s; , 

1 >. 

!i i 

i<i ! 
1 | 

i 


01 » 

ra: • 
Oj, -a 

Ol-S 

Qi i 

I 

' u 

a 

I 1 - 

j 

i 


a 1 
M 1 

c 1 

3 

u 1 

■3 1 

51 

el 


iS 
a 

3 
■0 
• 


a. 

c 
ra 

a 

E 
E 


a 


s 

c 

a 

£ 


a 1 

I: 

a | 

si 

> 1 

cl! 

j 

1 


CO 



? 



• 
s 

■ 
a 
c 


tf> 1 

c . 
« ' 

^ ! 

a.1 

l \ 

O 1 

Si 

S.I 

a.; 

1 

1 














1 
























a 








i 














1 1 


[ 










1 


= ' 










i 




1 

j 










; ] 


1 


1 








1 
j 


E ! 
i 1 










i 


j 1 | 


-j 




i ! 


; 


j 






j 


1 
1 




| 




i 








1 






' 




























01 




■ 
























i 




C j 




: 


















| 




— i 


01 1 






w ' 


1 




















1 ; 


w> ■ c 


•1 


Sj 




i; 


« ; 




• 






•• 






| 




1 


o : o 
O ! = 

*« . ra 


: jbI ! 


•si 
■ 1 

1 






a I 
3 


i 
| 


2 

■a 
$ 




1 


1 

u 1 




! 




1 

1 


u . £ 


« j : 




• 1 


1 









1 










1 


O 1 z 




ai 
















"5 ! 










-i o 


o i : 






"o i 


a • 


i 


« 














1 


I : £ 






^ 


0! 




■ 


1 


si 

< 




' 




i 




O 1 w 1 




2' 


Z : 




Z 1 










1 1 


1 


*"! ! oi 






1 














j 


! i i *' \ 


i ! 


, 




i | j J 




i : 
1 






! ° ! 




• 


1 






1 


1 


1 ■ i i 


i 
1 ■ 






i I | j 




■ Mil!! 


j <" 


1 1 ; II 


: 


I 


i 


i 




t 1 ! 1 




' 1 




■ 






| 




■ ; • I 






a 1 1 
1 o> 1 


1 

si '■ ' 


. 1 


1 
1 


! .1 j ! 


10 . 


! 1 l-L 

1 «o . 


en i mt 


1 *--l i 


«> 1 


tH - 


O 


1 


1 


Si 


1 In 


<? 1 « 


«£' 


1*^1 




•r: 


1 




1 Z- 


1 1 1 M -i 


> i 2 






oi 1 1 






1 1 


■ 1 1 


w 1 


1 


1 ' 1 ' cn 


"■1^ 


«• 


1 


- 


! " : , i 




i 1 


! ' 1 

1 1 > 


1 V»' 


I 


! 1 as , 

i ** ' 


I _c 




1 


! ! 


j ; 




1 


i . ! 1 j 




1 




1 


Mi i 


1 ' ! 


1 ; 


: 1 


i ! ! ! 


j i 


' iD 


O 1 c 
o = 


o 1 o I 


vn ■ 


; 








1 ! i m 


O 1 o i 


a> 1 


l ■ 


1 






! 1 ! s 


m < 


°i j «_! 


"-! 1 


CM 




o»_' 1 


1 m 1 


1 1 P «oj 


> : ra 

"-:<3 


<o ' 1 1 f> i 


■ ! 


IO* 




■n . 


t « ; 


1 M 




. 

j ■ SI ; 


- 


j 


1 5| 1 


f»4 . 


1 "- 

1 1 S! 


1 


i 1 I 

1 1 1 


1 ' 

: [ j i 


1 ! 


. 1 


! ! i ! 


1 ! 


! 1 : 1- 

■ 1 ; : i i i 


j 


|i 




' si 


1 oi i 1 



■ 


j | 


! i 1 ■ 


i 


i ill | 




— c 






O ; 


O | 











ill 




o ; c 


© I 








3 ■ 






1 ^ > 








« 




O ■ 


O ' 


! n 


1 ! 


! 5 o> . ! 


1 


j J ! 


i 


en ■ K 


5 




« ! 


rt 1 


OI ' 


' 1 


1 a> » j I 1 


5 








i • ! 




1 • j 


to ; 1 




! | 


*" . 


<D | 


' ■ i 


i 


>' 1 


en i 
i a» i 




s! 


oi 1 • 
o» 1 I 


oi 1 
at ' 


1 ! 


s si 1 

S » 1 1 


en , 
en : 


i III 
1 i ■ 


i 


1 CO 
















• 


1 




O ' 






O ■ 


1 


! 1 












1 ! s i 1 


K 






' 1 ! 


** 


! |l|l 


1 


i _ 


• ! 1 


© ' i 


1 


1 


.: 


1 


! i 1 '• 1 ! 


j % 








i 










J3 ! JJ 1 


-2 ' 


A 




i a ' I 


J3 ' 


i 1 ' i i 




— ! i J5! I 


•a - 


n 




fa , 


IB 






































■ ill « : I 


ra i 


ra i 


1 


a ■ 


ra 


1 I 




> > ■ 


> 


> • 




> 


> . 


; j ■ | 


</5 i C 


<! | j <! 


! 5: 


< 


\ 


<■ I ' 


< . 




1 
















; u 


° ' i oil 


. 







' ! 


O 






z: ! z: 


2 


z 




z 


Z 


: ; i ' 1 


>.. 






ra 






ra 




u ' 


2 i i -' i 


CD 


c7) 




• 


CO 




5 

< 


21 ! 5: 


— 

V3 


-? 

■a - - 


! 


ra 
01 


a 


! : 




c . , • 




— 




.;; ■ 








1 ' e , 
















B 1 1 


_o 


ra 




a 








O 1 — ! 1 

, b. c 1 a. = . 1 


0. c : 







1 ' 1 

0- zz 


0. 


; i -j : 


2 O 


•* 5 «4 5 : 


•4 i 


ad - : 




•6 - ■ 


•« . 


i ; ■ - , < 


?!* 


a. 5- a. i ; 

= 0- 1 — 2 ! 1 


r E; 


0- = 




a. - 

— n < 


c. : 


' i i !oi 


£ -= 


s. . ' u a. . 


3 £ ' 


O a 




1 Go: 


CJ 


; ' l »- 


J 


™ : =: 1 


> 


- 




C i 










































~ 




— 







Memo to Public Health and Environment Committee 

October 28, 1999 Public Health and Environment Committee Meeting 

Item 2 - File 99-1945 



Department: 



Item: 



Department of Public Health 
Community Health Services 

Resolution authorizing the Department of Public Health 
(DPH), Community Health Services, to enter into a 
Cooperative Program Agreement with the State 
Department of Rehabilitation. This Agreement requires 
the DPH to provide a local cash match of $100,000 that 
will enable the State Department of Rehabilitation to 
leverage grant funds of $414,766 from the Federal 
Rehabilitation Services Administration for HIV/AIDS 
clients in San Francisco. The subject resolution states 
that this Agreement does not include patent infringement 
indemnification and false claims clauses. 



Description: 



The proposed resolution would authorize the Department 
of Public Health (DPH), Community Health Services to 
enter into a Cooperative Program Agreement with the 
State Department of Rehabilitation. This Agreement 
requires the DPH to provide a local cash match of 
$100,000 that will enable the State Department of 
Rehabilitation to leverage grant funds of $414,766 from 
the Federal Rehabilitation Services Administration for 
the provision of vocational services to HIV/AIDS clients in 
San Francisco. Together, the required cash match of 
$100,000 and the grant funds of $414,766 would be used 
to cover the total costs of $514,766 for this project, 
according to Mr. Eric Ciasullo of the DPH (see Budget 
section of this report). 

Mr. Ciasullo states that this Agreement does not provide 
funding directly to the City. However, as a result of this 
Cooperative Program Agreement, the State Department 
of Rehabilitation would award Case Services Contracts to 
the following four non-profit organizations for the delivery 
of vocational services to HIV/AID clients: 

• Positive Resources Center 

• Jewish Vocational Services 

• IAM CARES 

• Catholic Charities 



BOARD OF SUPERVISORS 

BUDGET ANALYST 



8 



Memo to Public Health and Environment Committee 

October 28, 1999 Public Health and Environment Committee Meeting 

According to Mr. Ciasullo, the State Department of 
Rehabilitation would be solely responsible for entering 
into the contracts with the four non-profit organizations. 
However, Mr. Ciasullo states that the DPH Employment 
Development Unit would use existing departmental staff 
to coordinate with the State Department of Rehabilitation 
to develop collaborative linkages between existing DPH 
vocational services to HIV/AIDS clients and the proposed 
services to be funded under this Agreement. 

The term of this Agreement is for a 9-month period from 
October 1, 1999 through June 30, 2000 (see Comment #1). 

Mr. Ciasullo states that the Case Services Contracts 
would allow the subject four non-profit organizations to 
provide comprehensive benefits counseling and 
assessment, vocational assessment and career counseling, 
and a wide range of employment services for 
approximately 240 HIV/AIDS clients residing in San 
Francisco. 

Budget: Mr. Ciasullo has provided a budget for the total project 

costs of $514,766 for the 9-month period from October 1, 
1999 to June 30, 2000, as follows: 

State Department of Rehabilitation 

Counseling and Case Services $131,209 

Contractual Services 

Positive Resources Center 123,624 

Jewish Vocational Services 94,427 

IAM CARES 102,701 

Catholic Charities 62.805 

TOTAL BUDGET $514,766 

The Attachment, provided by DPH, contains supporting 
budgets for the contractual services to be provided by 
each of the subject four non-profit organizations. 

Required Match: $100,000 included in DPH's FY 1999-2000 budget. 

Comments: 1. According to Mr. Ciasullo, the subject four non-profit 

organizations have been contracted by the State 
Department of Rehabilitation to provide vocational 

BOARD OF SUPERVISORS 

BUDGET ANALYST 



Memo to Public Health and Environment Committee 

October 28, 1999 Public Health and Environment Committee Meeting 

services to HIV/AIDS clients since October 1, 1999. 
Therefore, this resolution should be amended to provide 
for retroactive approval of the proposed agreement to 
October 1, 1999. 

2. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the Cooperative Program 
Agreement include an indemnification of the City by the 
State Department of Rehabilitation for the infringement 
of patent rights; and (2) the requirement contained in 
Section 6.57(c) of the City's Administrative Code that the 
Cooperative Program Agreement include a paragraph 
reciting the false claim provisions contained in Section 
6.57(a) of the City's Administrative Code. According to 
Ms. Jean Fraser of the City Attorney's Office, these 
requirements apply to situations in which the City 
purchases goods or services, not when the City enters into 
Cooperative Program Agreements. Therefore, the waivers 
in this case are standard and pose minimal risk to the 
City, according to Ms. Fraser. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

October 28, 1999 Public Health and Environment Committee Meeting 



Recommendations: 



1. In accordance with Comment No. 1 above, amend the 
proposed resolution to provide for retroactive approval of 
the proposed agreement between the DPH and the State 
Department of Rehabilitation. 

2. Approve the proposed resolution as amended. 



Harvey M. Rose 



cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

11 



■t-i.L.Lxn-1. in id ii- 
Page 1 of 6 



- 


M 




TOTAL 
lUDQET 


• 


ON 






o 


hA 


■r«. 


•*■ 


■ -o 


o 


' O 


" • ©• 


OS- 


■ a> « «j> £ 

■ ■ s i2- 3 =k 

'■■•2S- E '« 




. 


' O 
ON 


o 


- BQ 


>o 


o 

' IN 


B9> 
ON 

« 


CO 

CM 


CM 


O 

' 4 




o 
.■«n 


in 


o* 

• ON' 

■ « 


3 
t 


a. ■ 

t? cm 

So 

■"■«•*■ 




■ *r, 


CM 


so 


>4 


CM 


■ »w 


«n 


>e 


' °° 


•**• 


— 


■ 




§:j H "s SI 




3 


'a. 
e 
si - 


















', 




■ '.V' 










£1. 


■I 

O 

:"■•'. 


« • 




























..t5a c tJ 

«B-.c ■=: ■> 
w c e v> 


*5 

*> 
• - 


Is 

— ° 


« 
m 


'a 










1 






-' 












lit 5 


n 












. 






.» 








■ 






fi sg 




• J. 

u. 


••• 

« 

fi "■ 
•■ 

»2 ' 
u 


• 

a . • 
e 

.*• • • 

a 

a. 
a 


■- 


' • 




















■ 
■ 


; 


■ ' fi ■• c-S 


c 

e 

■E 

.1 

• E 

< 




1 1 5 g 

sill 


o» 




















'. 




• 






* .3 JB 


■ 
.a 
£ . 

3 • 


ON 
.. O' 

*B en 

a ■** 
■J. ^ 

• ■ I 


c 5 

3° •• 

o a 

c 5 


© 

«7V 


on 
O 


CD 




o 

CM 


.. so 

OS 


oo 

CM . 


Ps 
CM 


o 


■a 






ON 

ON' 

on 


5 « ^ ■5 


V 


e 
5 


£ : 5 

1-2 


*f. 


■ a 


• 


' <* 
cs 

CM 


• 

ft 

.' CM 


e 


• 


'* 
N0 


00. 


.. eSi 


* 






■NO- 
©■ 


'■•Bi-P S: 
• C=5 CB g" N 


.73 

c 


























. 






a 




























. 


'• 


. eo:W. c *^ 


•c 








* 




















• • 


" " 


±1 o o ^ 


O 
B 


■. 


. 
























. - 


'■■ •:• 


p|» g ° 








• K 


K 


M 


K K 


►* 


M 














* o 2 






c 
o 

"S3 


m ■ 


«n 




ft 


... «N 


m 


.3 












3 






■«. °* 


























< 






5« 






• 














• 








ID ^ «- C 




u 

. 

c 


• • 

If 
























1 


c* 


"fe E J5 t3 
P ° 3 c 

g ° £ 5 

w - -o to "o 




5 = 

— «» 

- • 




w 


a 

4 




l_! 












■ 


C. 




■■Sffl-fc. 




t-l 


o 


o 

■ ts 

e 


O 

> 

.•a 


ISI. 

O 
u 



•-< 

S 














: a 

u 






g* 

s < * 


• ,C ** — t- 

Tj m 

T3 « * U ■ 
~ U «l 

5 3 ta -.. 

■ O '« . o 

f> H CO tl 

c . w a 

B BE ^ ->■* 

5 « <j 
s a jk c 

« > U CO 

3 *j x e«. _ 


-' E 
P. 

■' • . t 

c 
"• E 
■ fa 

B 


at 

B 

. ^ 

'3. 


J U 

5 *"• 

V 

s c 
J « 

•i 03 • 


"2 

c 
o 
u 

B 

u 

^H 

CM 

a 
' « 


< 

■4J 
S 

(V 

S 
ti 
u 

q 

«H 

a. 


c 
•»-f 
•o 

Jj 

Q 
' O- 

CO 

a 

> 
u 

V 


I 

o 
o 

<J 

S 



—k ■ 
.a 

j 


M 

. *J 

'.< CO 

• < 

■ B. 
- a 
U ■ 

BO 

o . 

u 

"j 


CD 

00 . 
«8 I 

c : 
. «o ► 

" S : f 

' « fi 

■ c a 
o c 


i 

4 C 

m « 


• c 
■" 2 

' 'a 

• 

. r-t 

V 


- a 

.'O 

■ '•m ■ 

cu' ■ 

fi. 
•3. 


' at ■ 

■ S -' 
• K ■ 

O 

■ tu ■ 


' 3 

•§ . 
w | 

C ; 

« S 

«o ! 
c 1 

-H 1 

..El 

-w £ 

>-■ 1 

■fi-. J 




m : © *^J 

*S £E(D- 

« g-o 3 

2: " c o 

. «. ® o eo 

« o aj -° 

--. o ffl — ' . 

. ■•£ o S a. ■ 
.=5 E ■« S-" 


S 5 


« n c I 




I 1 


1 ' 1 


1 


1 1 






A0/20'd JS0Z £Sc Sit 


7 


* 42 1, 


S If 


> lo Ira 1® 1: 


E! r 


M I 




S3J I ra^b H1I«5H'WU0D 


8t 


:2T 


666T-; 


2-130 



^.i-i_cf.L;nuifc2:ic 

'^age 2 of 6 



■c 

o 






S 

•a- 
e 

as 

E 
<■ 

a 



> 






§ 



"5 •? 

■ 



2 

II 

O to 

5 7 



I 



u 

5 

C ' 

to. 



< 



Hi 

a 






s 



i 



S'2 



m 



m 
■a 



■c. 



TJ 

ffi 



3 ■ 
CO 



»n 



4S 



o 

o 






"u 
. o 

■ 1-4 . ■ 

w m 

.. **J -CO 

-M- = j-i — i 

■ u : qn 
<: S3*> 

■ O -u o 

Q t£J U 

• ' ■ 

• • P 

t» JC C: 
> ■ u a 
•H a .h 



sr 
o 

A©.. 

— Hi 



£4 



vr> 






. I 



'H 






bj r-j 

• D 

a. 



BO 

c- 

C 

- aj 
«5 



. J- 

O 



41 

■e 
c 
•o 
a 
J* 




o 



|S a. er. w f • 

i0/£0-d 290E 2S2 Sl7 



9 
93 






T3 

'■ 

at 

>■ 
O 

aj 

>. 
*-i 

A* 

m 
u 

4J 

c 

E 

T3 

< 






tM 



■• 



"ft 



or 



s 



S3DIfi£SS KiltQH-UWCD 



-2iN 3 

*§J 2" 

fe CJ5-D 

•3 O p g • 

* fS — 2 

• d CO. 

• fi-CB-'CO 

6561-cS-lDO 



"«.t? : iD 






i 



5. J 



u^i-ii-i;rj x'-r-ia 



COnn. HEALTH SERUICE5 



Attachment 
Paee 3 of 6 




sS-i 



TOTAL P. 02 



Attachment 
Fage 4 of 6 




<L0/S0-d 290£ ZSZ STt7 



SBDinyns HiitQH'wuoo 



0S:2T 665T-EZ-1D0 



Attachment 
Page 5 of 6 



& 









Z 

o 

3 



n£ si u« 




s 5 sag 



£- 



a 
Z 
a 






5 

■ 

la 

I 

& 

M 



I 
e 

I 

M 



It 

la. R 

<2 



n 



s 

% 

3 



li 



& 



1 „ 

-• •» • 5 

lift 

s ■• ■ £ 
||?fl 



3fl=J 

uuStS 



5 



£ E » 



* K 



•* 
3 



5* 

li 






i0/90-d £90$: 2S2 SIfr 



OS 



= 5 






I 

i 



m 



5 



5 



<n 



K w 



1 * 



s 5 






m 






1 

1= 



§ 5 






E 
fees 

E.-L 






I* 



J? 






K 



CO 






S 



H 

O 



3 

•m- 
Wo 



16 



S30in*3S Hi-|«3H-UflJCD 



O © ft, 



I 



ftif 




0S:2I 666T-C2-1DD 



Attachment 
tage 6 of 6 



£0"d "lblOl 




£T 6661-cZ-J.jO 



0.%0 



'/*/*? 




City and County of §an Francisco 

Meeting ^Minutes 

JPublic Health and Environment Committee 

Members: Supervisors Sue Merman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102-4689 



Thursday, November 18, 1999 



1:00 PM 
Rescheduled Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



Meeting Convened 



991855 



The meeting convened at 1:02 P.M. 



[Grant from the Corporation for Supportive Housing to partially fund service and operating expenses at 
the Pacific Bay Inn and the Windsor Hotel (Single Room Occupancy hotels) serving chronically 
homeless persons] 

Resolution authorizing the Department of Public Health, Population Health and Prevention Division, to accept 

retroactively and expend a grant in the amount of $625,000 from the Corporation for Supportive Housing and 

to enter into an agreement which does not include patent infringement indemnification and false claims 

clauses; providing for ratification of action previously taken and waiving indirect costs. (Department of Public 

Health) 

9/28/99, RECEIVED AND ASSIGNED to Housing and Social Policy Committee. 

10/6/99, TRANSFERRED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Mark Tracent, Department of Public Health; Ernestine Weiss. 
RECOMMENDED AS COMMITTEE REPORT by the following vote: 

Ayes: 2 - Brown, Yaki 

Absent: 1 - Bierman 



991988 [Authorizing DPH to enter into an agreement with the Regents of the University of California, 
Univesitywide AIDS research program] 

Resolution authorizing the Department of Public Health, Community Health Promotion and Prevention, to 
enter retroactively into a subcontract agreement in the amount of $31,950 with the Regents of the University 
of California San Francisco, the primary contractor, to provide evaluation of the Youth United Through Health 
Education (Yuthe) Program, which includes a rights in data clause and which does not include patent 
infringement indemnification and false claims clauses; providing for ratification of action previously taken. 
(Department of Public Health) 
10/19/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Jackie McLite, Dept. of Public Health. 
RECOMMENDED AS COMMITTEE REPORT by the following vote: 

Ayes: 2 - Brown, Yaki 
Absent: 1 - Bierman 



DOCUMENTS DEPT. 
NOV 2 4 1939 

SAM FRANCISCO 
p UBLIC LIBRARY 



City and County of San Francisco 



Printed at 9:15 AM on 11/22M9 



Public Health and Environment Committee 



Meeting Minutes 



November 18, 1999 



991993 |Federal Grant to fund a feasibility study of physician prescription of methadone] 
Supervisor Nevvsom 

Resolution authorizing the Department of Public Health, Population Health and Prevention, Community 
Substance Abuse Services, to accept retroactively and expend a grant in the amount of $100,000 from the 
Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services (SAMHSA), for 
a methadone by physician prescription feasibility study and to enter into an agreement which does not include 
patent infringement indemnification and false claims clauses; providing for ratification of action previously 
taken. (Department of Public Health) 
10/20/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Newsom; Amillio Palacio, Dept. of Public Health. 
RECOMMENDED AS COMMITTEE REPORT by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



991994 [Authorizing DPH to enter into a subcontract agreement with the Regents of the University of 
California to provide home safety services to San Francisco seniors] 

Resolution authorizing the Department of Public Health, Community Health Promotion and Prevention, to 
enter retroactively into a subcontract agreement in the amount of $66,134 with the Regents of the University 
of California, the primary contractor, to provide home safety services to San Francisco seniors, which does not 
include patent infringement indemnification and false claims clauses; providing for ratification of action 
previously taken. (Department of Public Health) 
10/20/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Michael Randinski, Dept. of Public Health. 
RECOMMENDED AS COMMITTEE REPORT by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



992023 [Federal Grant to fund the Raise African American Infant Survival Program] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, Community 
Health Promotion and Prevention, to accept retroactively and expend a grant in the amount of $272,846 from 
the Centers for Disease Control and Prevention for the Raise African American Infant Survival Program and to 
enter into an agreement which does not include patent infringement indemnification and false claims clauses; 
providing for ratification of action previously taken. (Department of Public Health) 
10/27/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Larry Merideth, Dept. of Public Health. Amended title page 1 line 5 of the 
Title, delete the word "RETROACTIVELY" and page 1 line 21 delete the word "retroactively". 
AMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 

Resolution authorizing the Department of Public Health, Population Health and Prevention, Community 
Health Promotion and Prevention, to accept and expend a grant in the amount of $272,846 from the Centers 
for Disease Control and Prevention for the Raise African American Infant Survival Program and to enter into 
an agreement which does not include patent infringement indemnification and false claims clauses; providing 
for ratification of action previously taken. (Department of Public Health) 
RECOMMENDED AS COMMITTEE REPORT by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



City and County of San Francisco 



Printed at 9:15 AM on U/22M9 



Public Health and Environment Committee 



Meeting Minutes 



November 18, 1999 



992077 [Authorizing grant for a Trauma System Evaluation Project to strengthen and possibly formalize the 
relationship between San Francisco and San Mateo counties trauma care systems} 

Resolution authorizing the Department of Public Health, Community Health and Safety Services, to accept 
retroactively and expend a grant in the amount of $49,826 from the State Emergency Medical Services 
Authority for trauma system evaluation and to enter into an agreement which includes rights in data clauses 
and does not include patent infringement indemnification and false claims clauses; providing for ratification of 
action previously taken. (Department of Public Health) 
1 1/5/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speaker: Abby Yit, Dept. of Public Health. 
RECOMMENDED AS COMMITTEE REPORT by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 



991831 [Coca Cola Recycled Plastics) 
Supervisors Newsom, Bierman 

Resolution urging the Coca-Cola Corporation and its subsidiaries to use recycled plastics in its products. 
9/27/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Super-visor Newsom; Francesco Vitor, Director of the Dept. of the 
Environment; David Ausman; Vero Micoladi; Rick Besh; Kevin Drew, SF Community Center; Ann Kockrin, 
SF Conservation Corp. Amended page 1 line 19 after the word "year" by replacing "200" with "2000" and 
page 1 line 25 after the word "and" add "WHEREAS, The Coca-Cola Company presently uses 25% recycled 
content in its bottles in Australia, Sweden, and Switze-land; and, ". 
AMENDED. 

RECOMMENDED AS AMENDED by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 



ADJOURNMENT 



The meeting adjourned at 2:00 P.M. 



City and County of San Francisco 



Printed at 9:1 5 AM on 11/22/99 



•th 



Public Library,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



CITY AND COUNTY 




OF SAN FRANCISCO 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 
FAX (415) 252-0461 



DOCUMENTS DEPT 

NOV 1 7 1999 

SAN FRANCISCO 
PUBLIC LIBRARY 



November 16, 1999 

TO: ..Public Health and Environment Committee 

FROM: .Budget Analyst 

SUBJECT: ^November 18, 1999 Public Health and Environment Committee 
Meeting 



Item 1 - File 99-1855 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Project: 



Department of Public Health 

Resolution authorizing the Department of Public Health 
(DPH), Population Health and Prevention Division to 
accept retroactively and expend a grant of $625,000 from 
the Corporation for Supportive Housing to partially fund 
the Direct Access to Housing Program and to enter into 
an agreement which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken and waiving 
indirect costs. 

$625,000 

July 12, 1999 through June 30, 2002 (approximately 3 
years) 

Corporation for Supportive Housing 

Direct Access to Housing Program 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Description: The proposed resolution would authorize the Department 

of Public Health (DPH), Population Health and 
Prevention Division to accept retroactively and expend a 
grant of $625,000 from the Corporation for Supportive 
Housing to partially fund the Direct Access to Housing 
Program from July 12, 1999 through June 30, 2002. 

According to Mr. Marc Trotz of DPH, as part of this 
Program, presently DPH provides 169 units of housing to 
indigent and homeless individuals at reduced rental rates 
for a period of up to two years, with time extensions that 
are granted by DPH program staff on a case by case basis. 
The 169 units include: 

• 75 Single Room Occupancy (SRO) units at the Pacific 
Bay Inn, which are located at 520 Jones Street and 
leased by Episcopal Community Services, a non-profit 
organization, under contract with DPH. 

• 94 SRO units at the Windsor Hotel, which are located 
at 238 Eddy Street and leased directly by DPH. 

Mr. Trotz states that on-site support services, including 
mental health services, life skills development, and access 
to medical care services to improve the health of the 
program participants, are provided by DPH at the 
Windsor Hotel and by Episcopal Community Services at 
the Pacific Bay Inn. According to Mr. Trotz, DPH also 
contracts with Episcopal Community Services for the 
delivery of on-site support services at the Pacific Bay Inn. 

Attachment I, provided by Mr. Trotz, contains a budget 
and all funding sources for the $2,500,264 total project 
costs to operate the Direct Access to Housing Program in 
FY 1999-2000. 

As noted in Attachment I, $208,000 of the proposed grant 
funds of $625,000 would be used to fund a portion of costs 
totaling $2,500,264 for FY 1999-2000. According to Mr. 
Trotz, DPH intends to use the remaining $417,000 of the 
$625,000 in proposed grant funds to partially fund all of 
the Program's costs in FY 2000-2001 and FY 2001-2002. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 



Budget: 



Required Match: 
Indirect Costs: 

Comments: 



Attachment II, provided by the DPH, is a budget 
summarizing the Department's estimated expenditure of 
$625,000 in grant funds for the Program for fiscal years 
1999-2000, 2000-2001 and 2001-2002. 

None. 

According to Mr. Trotz, the proposed resolution provides 
for a waiver of indirect costs because such costs are not 
allowed by the granting agency. 

1. Mr. Trotz advises that the acceptance deadline for this 
grant was July 12, 1999 and as such, DPH has already 
accepted the subject grant funds. However, Mr. Trotz 
states that DPH has not expended such grant funds. 

2. According to the proposed resolution, as a condition of 
receiving the subject grant funds, DPH has agreed to 
enter into an agreement ("Agreement") with the 
Corporation for Supportive Housing that would require 
the City to waive (1) the requirement contained in 
Sections 6.21 and 21.19 of the City's Administrative Code 
that the Cooperative Program Agreement include an 
indemnification of the City by the State Department of 
Rehabilitation for the infringement of patent rights; and 
(2) the requirement contained in Section 6.57(c) of the 
City's Administrative Code that the Cooperative Program 
Agreement include a paragraph reciting the false claim 
provisions contained in Section 6.57(a) of the City's 
Administrative Code. According to Ms. Jean Fraser of the 
City Attorney's Office, these requirements apply to 
situations in which the City purchases goods or services, 
not when the City receives grant funds. Therefore, the 
waivers in this case are standard and pose minimal risk 
to the City, according to Ms. Fraser. 

3. Attachment III is the Grant Application Information 
Form. 

4. DPH has prepared a Disability Access Checklist for the 
proposed grant program, which is on file with the Clerk of 
the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 
3 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

5. The proposed resolution also contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
Agreement, with the Corporation for Supportive Housing 
if the grant recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Public Health to enter into other future 
agreements, similar to the subject Agreement, with the 
Corporation for Supportive Housing if the grant recurs or 
is renewed, without obtaining subsequent approval by the 
Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

4 



NDU-01-1999 05:44 

Attachment 1 



DPH HOUSING 



415 5^4 2704 P. 02 

Attachment I 



EXPENSES 

Lease Amount 
Operating Costs 
Services Cost 
Total 



Windsor Hotel 

$374,400 

$526,516 

$427,755 

51.428,771 



Pacific Bay Inn 

S323.568 

$180,219 

5567.706 

$1,071,493 



Total 

$697,968 

$806,835 

5995,461 

$2,500,264 



REVENUE 

General Fund 
CSH/Hilton Grant 
Rental Income 
Total 



51,062,109 
5115,000 
5251,662 



$713,164 

$93,000 

S265.329 



51,428,771 



$1,071,493 



$1,775,273 
$208,000 
$516,991 

$2,500,264 



TOTAL P. 02 



Attachment II 



HILTON FOUNDATION GRANT BUDGET 

FOR THE 

DIRECT ACCESS TO HOUSING PROGRAM 



PACIFIC BAY WINDSOR TOTAL 
INN HOTEL 



FY 99-00 

Support Services/Operations $ 93,000 $ 115,000 $ 208,000 

FY 00-01 

Support Services/Operations $ 93,000 $ 115,000 $ 208,000 

FY 01-02 

Support Services/Operations $ 93,500 $ 115,500 $ 209,000 

TOTAL $ 279,500 $ 345,500 $ 625,000 



Attachment III 
Page 1 of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept &. Expend Grant Funds 



to: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department. Division. & Branch: Department of Public Health, 

Population Health and Prevention, 
Community Health Services 
(Housing Services) 

2. Contact Person: Marc H. Trotz, Telephone: 554-2565 

Director of Housing Dvlpmt. 

3. Project Title: Direct Access to Housing 

4. Grant Source Agency: Corporation for Supportive Housing 

5. Tvpe of Funds [Circle): Federal Federal - State fPass Through) State Local ( Priv ate 

6. ProposedY NewyContinuation) Grant Project Summary: 

The DAH program is a housing initiative first funded by the Department in FY 1998-99. To 
date, the program consists of the following two Single Room Occupancy hotels: the Pacific Bay 
Inn, located at 520 Jones Street, providing 75 units of housing; and the Windsor Hotel, located at 
238 Eddy Street, providing 94 units of housing. Both buildings offer comprehensive on-site 
support services designed to meet the needs of chronically homeless persons with and without 
disabilities. The Department has contracted with Episcopal Community Services to lease and 
run the Pacifica Bay Inn. The Windsor Hotel has been leased directly by the Health Department 
with services delivered by staff hired through TWHC. 

Tne funds made available by the Corporation for Supportive Housing are part of a larger grant 
that CSH received from the Hilton Foundation specifically earmarked for supportive housing. 
The S625.000 three-year grant will be used to partially fund the service and operating expenses at 
both hotels. 

7. Amount of Grant Funding Applied For: S625,000 

S. Maximum Funding Amount Available fat time of application): S625,000 

9. Required Matching Funds? CCircleV. Yes QigJ Cash In-kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: N/A 



2/9/99 



Attachmen t III 
rage 2 of 2 



10. Number of new positions created and funded: N/A 



1 1 . If new positions are created, explain the disposition of emplovee(s) once the grant ends: N/A 



Yes: (fiop 



12. Are indirect costs eligible costs for this grant? (Circle): 
If ves. please identify the amount of Ss in indirect costs: 

13. Amount to be spent on contractual services: S625,000 



14. a.) Will contractual services be put out to bid? (Circle): -fYes:) No: 
b.) If so. will contract services help to further the goals of the department's 
MBEAVBE requirements? : Yes (Contracts have been awarded and 
approved by the Health Commission already) 

15. Is this request for contracting out likeiv to be : (CircleOne) One Time (Ongoini 

16. Term of Grant: Start-Date: 7/12/99 End-Date: 6/20/2002 
7/12/99- 
6/^0/2002 



17. Date You Were Notified That This Funding Was Available: 



9/98 

Funding 

was 

awarded 

6/25/99) 



18. Grant Application Due Date: 6/14/99 



S/3/99 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Item 2 -File 99-1988 



Department: 



Department of Public Health (DPH) 
Community Health Promotion and Prevention 



Item: 



Resolution authorizing the Department of Public Health, 
Community Health Promotion and Prevention, to enter 
retroactive^ into a subcontract agreement in the amount 
of $31,950 with the Regents of the University of 
California San Francisco, the primary contractor, to 
provide evaluation of the Youth United Through Health 
Education (YUTHE) program. The subject resolution 
states that this subcontract includes a rights in data 
clause, and does not include patent infringement 
indemnification and false claims clauses. 



Subcontract Periods 
and Amounts: 



July 1, 1999 through June 30, 2000 
July 1, 2000 through June 30, 2001 
July 1, 2001 through June 30, 2002 
Total 



$11,200 
10,375 
10.375 



$31,950 



Primary Contractor: University of California at San Francisco (UCSF) 



Budget: 



The budget for the first year of the subcontract payable to 
DPH by UCSF, from July 1, 1999 through June 30, 2000, 
is as follows: 



0.2 FTE 1424 Clerk Typist 

Benefits 

Total salary and benefits 

Travel 

Indirect costs 



$6,402 
1.911 



$8,313 
1,225 
1.662 



Description: 



Total 



$11,200 



The proposed resolution would authorize DPH to enter 
into a subcontract with UCSF to provide evaluation of the 
Youth United through Health Education (YUTHE) 
Program. YUTHE is a community-based, peer-led 
education program for the prevention of sexually 
transmitted diseases (STD) and of HIV infection, 
conducted by the DPH STD Prevention and Control 
Services. The YUTHE Program targets adolescents, from 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

9 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

ages 12 through 22, residing in the Bayview-Hunters 
Point community. The goal of the program is to reduce the 
rates of sexually-transmitted diseases and HIV infections 
among African American adolescents in Bayview-Hunters 
Point. A primary objective of the program is to increase 
utilization of STD preventive services, including screening 
and treatment of asymptomatic STD infections, through 
peer-led street outreach, one-on-one client centered 
interventions, small media marketing campaigns, and 
community mobilization. 

Approval of the proposed resolution would authorize DPH 
to enter into a subcontract with UCSF to provide support 
to UCSF for the evaluation of YUTHE. The primary goal 
of the evaluation is to determine the effectiveness of the 
YUTHE Program. 

Comment: 1. According to Ms. Jacqueline McCright of DPH, under 

the subcontract, DPH would hire a 0.2 FTE 1424 Clerk 
Typist to provide clerical support for the evaluation. In 
addition, Ms. McCright would provide in-kind services as 
Co-principal Investigator, equal to 10 percent of her time. 

3. The resolution urges the Controller to designate 0.2 
FTE created under the grant as "G" or grant-funded 
positions, which would terminate when the grant expires. 

4. Ms. McCright states that the proposed resolution is 
retroactive because the Department of Public Health 
received the subcontract document in early September, 
not permitting sufficient time to present the resolution for 
review by the Board of Supervisors prior to entering into 
the agreement. Ms. McCright reports that no funds have 
been expended. 

5. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by UCSF for the infringement 
of patent rights; and (2) the requirement contained in 
Section 6.57(c) of the City's Administrative Code that the 
agreement include a paragraph reciting the false claim 
provisions contained in Section 6.57(a) of the City's 
Administrative Code. According to Ms. Jean Fraser of the 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

10 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

City Attorney's Office, these requirements apply when the 
City purchases goods or services, not when the City 
receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

6. According to the proposed resolution, as a condition of 
receiving the subject subcontract, the DPH has agreed to 
enter into an agreement with UCSF that would require 
the City to grant UCSF the royalty-free and nonexclusive 
right to use the data collected under the contract. 

7. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with UCSF if the subcontract recurs or is 
renewed. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject Agreement, with UCSF if the 
subcontract recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

11 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Item 3 - File 99-1993 



Department: 



Item: 



Department of Public Health (DPH) 
Population Health and Prevention 
Community Substance Abuse Services (CSAS) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention, Community Substance 
Abuse Services, to accept retroactively and expend a grant 
in the amount of $100,000 from the Center for Substance 
Abuse Treatment, Substance Abuse and Mental Health 
Services, for a Methadone by Physician Prescription 
Feasibility Study. The subject resolution states that this 
grant agreement does not include patent infringement 
indemnification and false claims clauses. 



Grant Amount: 

Grant Period: 

Source of 
Funds: 



Matching Funds: 
Indirect Costs: 
Budget: 



Description: 



$100,000 

September 30, 1999 through September 30, 2000 



Federal Department of Health and Human Services, 
Center for Substance Abuse Treatment (CSAT), 
Substance Abuse and Mental Health Services (SAMHSA) 

None 



$4,762 

Salaries and benefits 
Consultants 

Operations and equipment 
Indirect costs (@ 5 percent) 
Total 



$71,292 

10,000 

13,946 

4.762 

$100,000 



Attachment I, provided by DPH, contains details of the 
proposed budget. 

In February of 1998, the Board of Supervisors requested 
the Department of Public Health (DPH) to create a 
program to permit physicians to prescribe methadone for 
patients addicted to opiates, as an alternative to 
providing methadone solely in methadone clinics 
(Resolution 56-98). An interdisciplinary planning group, 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

12 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

comprised of providers, community groups and DPH 
programs, developed a model program to permit 
physicians to prescribe methadone as a treatment to 
individuals addicted to opiates. In accordance with the 
Board's original resolution, DPH is now planning to 
conduct a feasibility study for the implementation of the 
proposed program. 

Approval of the proposed resolution would authorize the 
DPH to accept a $100,000 Federal grant from the Center 
for Substance Abuse Treatment, Substance Abuse and 
Mental Health Services, for a feasibility study, to be 
conducted by DPH, to determine (a) provider interest in 
participating in the program and (b) the potential cost of 
the program. 

Comment: 1. According to Dr. Alice Gleghorn of DPH, the proposed 

feasibility study would (a) determine physician, counselor, 
and pharmacy interest in participation in the physician 
prescription of methadone program, (b) conduct training 
sessions for providers to participate in the program, (c) 
develop a centralized data base, (d) develop quality 
control and evaluation protocols, and (e) conduct a fiscal 
analysis of the program. 

2. Dr. Gleghorn states that the grant resolution is 
retroactive to accept these funds because the award notice 
was received in early September of 1999. According to Dr. 
Gleghorn, no funds have been expended. 

3. According to Dr. Gleghorn, DPH would use the grant 
funds to hire 1.0 FTE 2802 Epidemiologist and 0.5 FTE 
9924 Project Assistant to conduct the feasibility study. 
The proposed resolution urges the Controller to designate 
two positions created under the grant as "G" or grant- 
funded positions, which would terminate when the grant 
expires. 

In addition, Dr. Gleghorn states that DPH would use 
$7,000 of the subject grant funds to hire an outside 
consultant through a Request for Proposal (RFP) to 
develop and provide training to providers. Dr. Gleghorn 
states that DPH would also use $3,000 to hire an outside 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

consultant through an RFP to develop a database, for a 
total of $10,000. 

4. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by the Federal Department of 
Health and Human Services for the infringement of 
patent rights; and (2) the requirement contained in 
Section 6.57(c) of the City's Administrative Code that the 
agreement include a paragraph reciting the false claim 
provisions contained in Section 6.57(a) of the City's 
Administrative Code. According to Ms. Jean Fraser of the 
City Attorney's Office, these requirements apply when the 
City purchases goods or services, not when the City 
receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

5. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with CSAT if the grant recurs or is renewed. 

6. Attachment II is the Grant Application Information 
Form, provided by DPH. 

7. DPH has prepared a Disability Access Checklist, which 
is on file with the Clerk of the Board's Office. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject Agreement, with the CSAT if the 
grant recurs or is renewed, without obtaining subsequent 
approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



Attachment I 



Effort 



Annualized 
Salary 



Category 

Colli 



I 



tEpidcrniologtstl - Class 2802 



Total Costs ! Hourly Rate 



S47.154 



S47.164 



Senefm fg .25 



S1 1.791 



Broiee) Assistant - Class 992-i 



Operations: 



Eouipment 



0.5 



S24.S74 



S 12.237 



Subtotal Personnel 



S71.292 



i ngiree; (g SS 



S22.SE 



S3.5S5 



SII.Bi 



Total Personnel 



S74.e57 



37 



Desktop Persona! Computer 



S3.CC0 



**5* 



Operating and Office Software 



S1.000 



SAS License Fee 



S1.2CO 



S5CO 



Dtal rouipment 



S5.EC0 



Consultants 



Cumculum Development/Qn-sile Traincna 



S7.0CO 



Ce ntralized Database Development 
"oial Consultants 



S3 .CCO 



SI 0.000 



Supplies 



Office Supplies 



S2SS 



Postace 



S20O 



Express Mail 



S20O 



otal Supplies 



SS36 I 



raining Costs 



Space Rental 



S1.4C0 



Audio Visual 



S1.CC0 



Manuals 



S2.0CO 



Meeting Expense 



S500 



"otal Training 



S4.S0O 



Duplication 



Copying of Materials for Committee Dis^bution 



S200 



otal Duplication 



S2C0 



Local Travel and Parking 



S3C0 



Travel to CSAT Conference 



S1.400 



otal Travel 



SI. 700 



eleonone 



Telephone Line Installation » Usage 



S3C0 



Long Distance 



S350 



otal Telephone 



Subtotal Operations 



S23.945 



Operations Indirect @ ..05 



SI. 197 



otal Operations 



Total Personnel and Operations 



S25.K3 



S100.0CC 



15 



Attachment II 

„., KT . Page 1 of 2 

File Number: ° 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors. 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department: Public Health; Population Health and Prevention; Community Substance Abuse 
Services. 

2. Contact Person: Alice Gleghorn, Ph.D. Telephone: 255-3722 

3. Project Title: Methadone by Physician Prescription Feasibility Study 

4. Grant Source Agency: Center for Substance Abuse Treatment (CSAT) Substance Abuse and Mental 
Health Services (SAMHSA) 

5. Type of Funds: X Federal Federal-State (Pass-Through) State Local XJPrivate 

6. Proposed (New /Continuation) Grant Project Summary: 

On February 6, 1998, the San Francisco Board of Supervisors passed plesolution No. 56-98 directing the 
Department of Public Health to create a program to "allow physicians full discretion to treat addiction 
through prescription methadone." Pursuant to the Board's Resolution, Dr. Mitchell H. Katz, Director of 
the San Francisco Department of Public Health, directed Barbara Garcia, head of the Community 
Substance Abuse division of DPH, to convene an interdisciplinary Working Group to design a program 
for physician prescription of methadone (PPM) to treat opiate dependence in San Francisco. In an" eight 
month planning process, the PPM working group developed a model for the physician prescription of 
methadone program. The Department of Public Health's next task in responding to the Board of 
Supervisor's Resolution is to conduct a feasibility study for implementation of the PPM program. This 
study will determine physician, counselor and pharmacy interest in participation in the PPM, conduct 
trainings, develop a centralized data base, quality control and evaluation protocols, and conduct a fiscal 
analysis of the program. 

7. Amount of Grant Funding Applied for: $100,000 

8. Maximum Funding Amount Available: SI 00,000 

9. Required Matching Funds? Yes: No: X Cash or In-kind: 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: Two 

1 1. If new positions are created, explain the disposition of employees once the grant ends? 
Position will terminate with the funding. 

1 
9/21/99 

16 



Attachment II 
Page 2 of 2 

12. Are indirect costs eligible costs for this grant? Yes: X No: 
I f yes, please identify the amount of S in indirect costs: S4,762 

13. Amount to be spent on contractual services: S10,000 

14. a.) Will contractual services be put out to bid?: Yes: X No: 

b.) If so, will contract services help to further the goals of the department's MBE/WBE 
requirements? : Yes 

15. Is this likely-to be a one-time or ongoing request for contracting out?: One-time 

16. Term of Grant: Start-Date: September 15, 1999 End-Date: September 30, 2000 

17. Date Department Notified of Available Funds: August 13. 1999 

18. Grant Application Due Date: N/A 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): According to standards as set forth in the Agreement, the BCRP Grant 
Administration Manual, and Office of Management and Budget Circulars Nos. A-122 or A-21, as 
applicable, and A-l 10. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 



Signature 



2 
9/21/99 



17 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Item 4 - File 99-1994 



Department: 
Item: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Community Health Promotion and Prevention, to enter 
retroactively into a subcontract agreement in the amount 
of $66,134 with the Regents of the University of 
California, the primary contractor, to provide home safety 
services to San Francisco Seniors. The subject resolution 
states that this subcontract does not include patent 
infringement indemnification and false claims clauses. 



Subcontract 
Amount: 



$66,134 



Contractor: 

Subcontract 
Period: 



Budget: 



University of California at San Francisco (UCSF) 



September 1, 1999 through February 29, 2000 (six 
months) 

The summary budget for the proposed subcontract is, as 
follows: 



Personnel 



0.8 FTE 2819 Assistant 




Health Educator 


$28,413 


0.25 FTE 9924 Public 




Service Aide 


4,215 


Fringe benefits @ 27 percent 


8,861 


Subtotal 




Operations 




Equipment 


$ 3,000 


Supplies 


4,600 


Travel 


945 


Other 


7.802 


Subtotal 





$41,489 



16.347 



Subtotal personnel and operations 
Indirect costs (20% of personnel costs) 
Total personnel and operations 



$57,836 

8.297 

$66,133 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

18 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Attachment I, provided by DPH, contains additional 
details of the operating budget for the proposed 
subcontract. 



Description: 



The proposed resolution would authorize DPH to enter 
into a subcontract with UCSF to provide home safety 
modification information and assistance services to senior 
citizens. UCSF has received a grant from the National 
Institutes of Health (NIH) to (a) provide home safety 
modification information and assistance to senior citizens 
in San Francisco and (b) assess how senior citizens utilize 
such home safety modification information and 
assistance. As part of the NIH grant, UCSF would 
subcontract with DPH to provide the home safety 
modification information and assistance services. 



Comment: 



The Community Home Injury Prevention Program for 
Seniors (CHIPPS) is a program of DPH Community 
Health Promotion and Prevention, which provides 
education services for senior citizens regarding 
modifications they can make in their homes to improve 
their safety. The subcontract with UCSF would permit 
CHIPPS to (a) enhance their home safety modification 
education services to senior citizens and (b) assist senior 
citizens in implementing minor home safety 
modifications. UCSF would provide an assessment of the 
CHIPPS home safety modification education and 
assistance program to evaluate why senior citizens make 
the home safety choices that they make. 

1. According to Mr. Michael Radetsky of DPH, the NIH 
grant to UCSF provides for a four-year subcontract with 
DPH to provide home safety modification education and 
assistance services. 



2. In addition to the subject six-month period from 
September 1, 1999 through February 29, 2000, Mr. 
Radetsky reports that UCSF proposes to subcontract with 
DPH for three additional one-year periods, and for one 
additional six-month period, for a total period of four 
years for the subcontract, from September 1, 1999 
through August 31, 2003. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

19 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

3. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with UCSF if the grant recurs or is renewed. 

4. The resolution urges the Controller to designate two 
positions created under the grant as "G" or grant-funded 
positions, which would terminate when the grant expires. 

5. Mr. Radetsky states that the proposed resolution is 
retroactive because the fully executed contract was 
received in late September of 1999, not permitting 
sufficient time to present the resolution for review by the 
Board of Supervisors prior to entering into the agreement. 
Mr. Radetsky reports that no funds have been expended. 

6. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by the UCSF for the 
infringement of patent rights; and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57(a) of the 
City's Administrative Code. According to Ms. Jean Fraser 
of the City Attorney's Office, these requirements apply 
when the City purchases goods or services, not when the 
City receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

7. According to the proposed resolution, as a condition of 
receiving the subject subcontract, the DPH has agreed to 
enter into an agreement with UCSF that would require 
the City to grant UCSF the royalty-free and nonexclusive 
right to use the data collected under the contract. 

8. Attachment II is the Grant Application Information 
Form, provided by DPH. 

9. DPH has prepared a Disability Access Checklist, which 
is on file with the Clerk of the Board's Office. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 

BOARD OF SUPERVISORS 
BUDGET^NALYST 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

the Director of Health to enter into future agreements, 
similar to the subject Agreement, with UCSF if the grant 
recurs or is renewed, without obtaining subsequent 
approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

21 



Attachment 1 




City and County of San Francisco 
DEPARTMENT OF PUBLIC HEALTH 



Willie L. Brown, Jr., Mayor 
Mitchell H. Katz, M.D. 
Director of Health 



POPULATION HEALTH AND PREVENTION 
COMMUNITY HEALTH PROMOTION AND PREVENTION BRANCH 



November 8, 1999 

TO: Budget Analyst 

FROM: , Michael Radetsky 

RE: Detail of Operations portion of UCSF sub-contract for the NTH grant 



Equipment: 

1 computer and printer 



$3,000. 



$3,000. 



Supplies: 

Training Materials 
Printing of Health Ed Materials 
Incentives for Program Participants 
Safety/Repair Supplies 
for Home Modifications 



333. 

3,000. 

500. 

767. 



$4,600. 



Travel: 

MUNI passes 



945. 



S945. 



Other: 

Installation of Grab Bars at S60 
Space Expenses - office space for 

Coordinator and Manager (6 mos) 
Stipends for Volunteers 



2,700. 

3,463. 
1.639. 



S7.802. 



TOTAL Operations costs 



$16,347. 



Health Promotion Section 



101 Grove Street, Rm.118 
San Francisco, CA 94102 

22 



Fax (415) 554-2746 



Attachment II 
Page 1 of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 



To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department, Division, & Branch: Public Health, CHP&P 

2. Contact Person: Michael Radetsky Telephone: 554-2924 

3. Project Title: Safe Houses: Home Modification as Self Care 

4. Grant Source Agency: UCSF sub-contract on National Institutes of Health (NTH) grant 

5. Type of Funds (Circle): Federal Federal - State (Pass Through) State Local 

6. Proposed (New/Continuation) Grant Project Summary: 

Under the "Safe Houses: Home Modification as Self Care" grant from the NIH, the CHTPPS 
program in the Health Department will provide, and UCSF researchers from the Division of 
Medical Anthropology will assess senior utilization of, home safety modification information and 
assistance to seniors in San Francisco. Targeting seniors in low-income neighborhoods, CHIPPS 
will offer educational presentations, home safety assessments and assistance with implementing 
minor home safety modifications, intended to help San Francisco seniors maintain their 
independence and continued residence in the community. 

7. Amount of Grant Funding Applied For: 5755,865 for4!/2 years 

8. Maximum Funding Amount Available (at time of application): Not specified 

9. Required Matching Funds? (Circle): Yes /fio) Cash In-kind 

If yes, list dollar amount and identify source of Matching Funds in Department Budget: 



The actual grant award to UCSF from NIH is for 4 1/2 years. 
UCSF will use a portion of the NIH grant to subcontract with 
DPH to provide the home safety services to seniors. The total 
length of the proposed subcontract would be 4 years. •' The first 
six months of the subcontract would be for $66,134. This six-month 
subcontract is the subject of the proposed resolution. 



2/9/99/ • 1 

23 



Attachment II 
10. Number of new positions created and funded: Page Z O 



i Assistant Health Educator 2819 (.80 FTE) 
1 Public Service Aide 9924 (.25 FTE) 



1 1. If new positions are created, expla-in the disposition of employee(s) once the grant ends: 

These are grant-funded positions which would terrminate at the end of the grant. Additionally, 
the 9924 position is an as-needed position for community outreach, and is expected to be hired on 
an annual basis, to facilitate outreach into different communities. 



12. Are indirect costs eligible costs for this grant? (Circle): (Yes:/ No: 
If yes, please identify the amount of Ss in indirect costs: $8,297 in 1 st 6 mos 

13. Amount to be spent on contractual services: S810 in 1 st 6 mos. 

14. a.) Will contractual services be put out to bid? (Circle): Yes: 
b.) If so, will contract services help to further the goals of the department's 
MBE/WBE requirements? : 

15. Is this request for contracting out likely to be : (CircleOne) One Time ( Ongoing, 

16. Term of Grant: Start-Date: 9/1/99 End-Date: 2/29/04 

17. Date You Were Notified That This Funding Was Available: 9/15/98 

18. Grant Application Due Date: 11/1/98 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): 

This Agreement shall become effective September 1, 1999 through February 29, 2000. The 
Collaborating Institution shall submit a continuation application to the University in the form and 
time designated by the University. ^Collaborating Institution shall be deemed at all times to be 
an independent contractor and shall be wholly responsible for the manner in which it performs 
the services required of it by the terms of this Agreement. *The Collaborating Institution will be 
provided with monthly payments, upon receipt from the Collaborating Institution, in triplicate, of 
the UniveYsity's Subcontractor Invoice (Exhibit A). 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

(To be obtained by Grant Manager) 

Signature 



9/22/99 



24 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Item 5 - File 99-2023 



Department: 
Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention Division, Community 
Health Promotion and Prevention, to accept retroactively 
and expend grant funds in the amount of $272,846 from 
the Federal Centers for Disease Control and Prevention 
for a project entitled Raise African American Infant 
Survival: Erase Disparity (RAISE) and to enter into an 
agreement which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken. 

$272,846 

September 29, 1999 through September 28, 2000 (12 
months) 

Federal Centers for Disease Control and Prevention 



Description 



The proposed resolution would authorize the Department 
of Public Health (DPH), Population Health and 
Prevention Division, Community Health Promotion and 
Prevention, to accept retroactively and expend grant 
funds in the amount of $272,846 from the Federal Centers 
for Disease Control and Prevention for a project entitled 
Raise African American Infant Survival: Erase Disparity 
(RAISE). 

Ms. Virginia Smyly of the DPH states that RAISE is a 
collaborative effort among the DPHs Community Health 
Promotion and Prevention, various community-based 
organizations, academic institutions and foundations to 
(a) collect and analyze data on infant mortality among the 
African American population in San Francisco and (b) 
develop a Community Action Plan to identify potential 
strategies to reduce African American infant mortality in 
San Francisco. 

According to Ms. Smyly, the DPH intends to use $98,982 
of the proposed grant funds of $272,846 to fund the 
salaries and fringe benefits of one new FTE Class 2591 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

25 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

Health Program Coordinator II to coordinate the 
activities of the DPH and the various organizations 
participating in the project and one new FTE Class 1424 
Clerk Typist to provide clerical support to the project. 
Ms. Smyly states that the two new positions will be hired 
approximately in mid-December of 1999 and be 
terminated when the grant expires on September 28, 
2000, unless the subject grant is renewed or other funds 
are obtained. The Budget Analyst recommends that the 
proposed resolution be amended to designate the two new 
positions as "G" or "Grant-funded" so that these positions 
would expire upon termination of the grant. 

Ms. Smyly states that Booker T. Washington Community- 
Service Center and University of California, San 
Francisco's Family Outcomes Project, two non-profit 
organizations, and Uribe & Associates, a private 
consultant, would be awarded $137,034 of the $272,846 in 
grant funds on a sole source basis. Of this amount of 
$137,034, the DPH would grant $85,893 to Booker T. 
Washington Community Service Center to recruit 
community participants to provide data for RAISE, 
$36,141 to the University of California, San Francisco's 
Family Outcomes Project to develop an evaluation design 
for the proposed project and $15,000 to Uribe & 
Associates to facilitate project planning meetings because 
(1) all three organizations have unique expertise in their 
respective fields of work and (2) the granting agency 
required the DPH to identify a project recruiter, evaluator 
and facilitator in the grant application prior to the award 
of the subject grant, according to Ms. Smyly. Attachment 
I, provided by Ms. Smyly, describes in further detail these 
contractual services for the proposed project. 

Ms. Smyly states that of the remaining $36,830 in 
proposed grant funds of $272,846, the DPH would use 
$17,820 for equipment, supplies and travel expenses 
associated with RAISE and $19,010 to fund the City's 
indirect costs associated with administering the subject 
grant, according to Ms. Smyly. 

Budget: Attachment II, provided by Ms. Smyly of the DPH, 

contains a budget in the amount of $253,836 (which does 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

26 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

not include the City's indirect costs of $19,010) to support 
the expenditure of the proposed grant funds for RAISE. 



Required Match: 
Indirect Costs: 
Comments: 



None 
$19,010 

1. As noted above, the proposed resolution provides for 
retroactive acceptance of the proposed grant funds. 
However, according to Ms. Smyly, the DPH has not 
accepted the subject grant. Therefore, the proposed 
resolution should be amended to delete reference to 
retroactivity with respect to acceptance of the proposed 
grant funds. 

2. Ms. Jean Fraser of the City Attorney's Office advises 
that as a condition of receiving the grant funds, the DPH 
has agreed to enter into an agreement (the "Agreement") 
with the Federal Centers for Disease Control that would 
require the City to waive (1) the requirement contained in 
Sections 6.21 and 21.19 of the City Administrative Code 
that the Agreement include an indemnification of the City 
by the Federal Centers for Disease Control for the 
infringement of patent rights; and, (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the Agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57(a) of the 
City's Administrative Code. Ms. Fraser advises that the 
waivers in this case are standard and pose minimal risk 
to the City, according to Ms. Fraser. 

3. As shown in Attachment II, the amount to be spent on 
fringe benefits for the one new FTE Class 1424 Clerk 
Typist position created under the grant is $3,508. 
However, according to Ms. Smyly, the actual amount to be 
spent on such fringe benefits is $3,435 or $73 less than 
the reported amount of $3,508. 

4. Attachment III is the Grant Application Information 
Form, as prepared by the DPH. 

5. As shown in Attachment III, one new position would be 
created under the grant and $122,024 of the grant would 
be spent on contractual services for the proposed project. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

27 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

However, as noted above, the DPH intends to create two 
new positions under the grant and the amount to be spent 
on contractual services is $137,034 or $15,000 more than 
the reported amount of $122,034. 

6. The DPH has prepared a Disability Checklist for the 
proposed grant funds, which is on file with the Clerk of 
the Board of Supervisors. 

7. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
Agreement, with the Federal Centers for Disease Control 
if the grant recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 

Recommendations: 1. Amend the proposed resolution to designate the two 

new positions created under the grant as "G" or "Grant- 
funded" positions. 

2. Amend the proposed resolution to delete reference to 
retroactivity with respect to acceptance of the proposed 
grant funds. 

3. Approval of the proposed resolution, as amended, is a 
policy matter for the Board of Supervisors since this 
resolution authorizes the Director of Public Health to 
enter into other future agreements, similar to the subject 
Agreement, with the Federal Centers for Disease Control 
if the grant recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

28 



Attachment I 



Date: 11/10/99 

Sender: Ginger Smyly 

To: Gabriel Cabrera 

Priority: Normal 

Subject: Description of contractor services 



Gabe -, 

Here is the information: 

Booker T. Washington Community Service Center; $85,893; 
Hire/coordinate community based planners/outreach workers; provide an 
office and meeting space, childcare, honorairums and incentives for 
participants; participate in the community planning. 

FHOP/UCSF; $3 6,141; Evaluate the planning grant activities; train and 
provide technical assistance to the community outreach/planners and 
other project participants; prepare evaluation plan for PHASE 2 
implementation . 

This is the consultant line: 

Uribe & Associates: up to $15,000; Provide facilitation services for 
the Phase 1 planning of meetings of the project team, coalition and 
community planners/citizens; provide training in planning processes 
and facilitation skills for community outreach/planners and other 
project participants. 

let me know if you need more . 

ginger - 



29 



NOU-09-1999 15:05 



DPH CHPEP 



415 554 2861 P. 03 



DETAILED BUDGET FOR INITIAL BUDGET PERIOD 
DIRECT COSTS ONLY 



FROM 

09/01/99 






THROUGH 

08/31/2000 



PERSONNEL (AppGcant organization ody) 



NAME 



Virginia Smyly 



ROLE ON 
PROJECT 



Principal 
Investigator 



TYPE 

APPT. 

(months) 



12 



EFFORT 

ON 

PROJ. 



.05 



INST. 

BASE 

SALARY 



;69' f 269 



DOLLAR AMOUNT REQUESTED (omit cents) 



SALARY 

REQUESTED 



FRINGE 

BENEFfTS 



TOTALS 



to be identified 



Trainer/ 
Coordin. 



12 



100 55071 



55071 



15420 



70491 



to be identified 



Program 
Assist. 



12 



100 25056 



25056 



3508 



28564 



SUBTOTALS • 



80127 



18928 



98982 



CONSULTANT COSTS 

Joanna Dribe, Uribe and Mena Associates 



15000 



EQUIPMENT (Itemize) 

Digital camera 
Computer and printer 




4700 



SUPPLIES (Itamiza by category) 
Office and educational supplies 
reproduction and printing 
office furniture 



Trocal 

In state/ out of state 




6000 



TRAVEL 



4220 



PATIENT CARE COSTS 



INPATlBsfT 



OUTPATIENT 



ALTERATIONS AND RENOVATIONS (Itemize by category) 



OTHER EXPENSES (Itemize by category) 
Software 

registration fees for training /conferences 
occasional space rental 



2900 



SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD 


S 131,802 


J 


CONSORTIUM7CONTRACTUAL j DIRECT COSTS t 


1108,326 




COSTS 122,034 j FACILITIES AND ADMINISTRATION COSTS 


I 13.708 








$253,836 


I 


TOTAL ulhfcu 1 L-Ub 1 b rOn INITIAL dUDGELT ptnluD (item 7a, race rage) — 


) 


_1 



PHS 39B (Rev. 4/9B) 

Number p*q*i consecutively «i me bottom nvougnout the tspBcitfon. Do cot use suffixes such cs 3a. 3b.. 



(Form Page «) Page . 



DD 



000C4 



pr 



30 



Attachment III 
Page 1 of 2 
File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Public Health; Population Health and Prevention; Community Health Promotion 
and Prevention z 

2. Contact Person: Virginia Smyly, MPH, CHES. Telephone: 554-2742 

3. Project Title: Raise African American Infant Survival: Erase Disparities (RAISE) 

4. Grant Source Agency: Federal Centers for Disease Control and Prevention 

5. Type of Funds: X Federal Federal-State (Pass-Through) State Local Private 

6. Proposed ( "New /Continuation) Grant Project Summary: 

The "Raise African American Infant Mortality: Erase Disparities" (RAISE) project is a broad 
based community-public health collaborative to analyze the problem of infant mortality, identify 
promising interventions feasible and culturally appropriate for San Francisco, and develop a 
Community Action Plan and evaluation to be considered for further funding by CDC. The 
Action Plan will be considered for future implementation funding for 2 to 3 years. 

7. Amount of Grant Funding Applied for: 5274,924 

8. Maximum Funding Amount Available: Not available. 

9. Required Matching' Funds? Yes: _No: X Cash or In-kind: ^^ 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of new positions created and funded: 1 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? 
Once this grant period ends, there may be a continuation grant for up to three years. If not, 
employees may be retained if other funding is available. 

12. Are indirect costs eligible costs for this grant?. Yes: X_No: 

If yes, please identify the amount of S in indirect costs: $19,010 

13. Amount to be spent on contractual services: 5122,034 

9/22/99 '. "- 1 

31 



Attachment III 
Page 1 of 2 



14. a.) Will contractual services be put out to bid?: Yes: No: X 

b.) If so, will contract services help to further the goals of the department's MBEAVBE 
requirements? : N/A 

15. Is this likely to be a one-time or ongoing request for contracting out? 
If the continuation grant is secured this will be a continuing request. 

16. Term of Grant: Start-Date: September 29, 1999 End-Date: September 28, 2000 

17. Date Department Notified of Available Funds: 

1 8. Grant Application Due Date: June 30. 1999 

19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): Grant Announcement 99064, Racial and Ethnic Approaches to 
Community Health 2010, Centers for Disease Control, Department of Health and Human 
Services 



20. Department Head Approval: Mitchell Katz, M.D., Director of Health 




Signature 



9/22/99 '■ 2 

32 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 



Item 6 - File 99-2077 

Department: 

Item: 



Grant Amount: 
Grant Period: 
Source of Funds: 
Matching Funds: 
Indirect Costs: 
Budget: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health 
to accept retroactively and expend a grant in the amount 
of $49,826 from the State Emergency Medical Services 
Authority for trauma system evaluation and to enter into 
an agreement with the State Emergency Medical Services 
Authority which includes rights in data clauses and does 
not include patent infringement indemnification and false 
claims clauses. 

$49,826 

July 1, 1999 to June 30, 2000 

State Emergency Medical Services Authority 

None 

$3,666 

The budget is summarized as follows: 



Catefforv of Expenditure 


Funds 


Part-time Trauma Specialist (registered nurse at 


$25,366 


$32.52/hr x 780 hours) 




As-needed Clerical/Intern Assistance 


3,729 


Fringe Benefits 


7,565 


Travel 


1,000 


Supplies 


3,500 


Consultant Services 


5.000 


Total Direct Costs: 


$46,160 


Indirect Costs 


3.666 


TOTAL: 


$49,826 



Description: 



The subject grant would fund an Enhanced Regional 
Trauma Systems Plan which has four goals: 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

33 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

• To enhance the performance of San Francisco General 
Hospital's Trauma Center. 

• To close gaps in the trauma system operated by the 
San Francisco and San Mateo counties by 
strengthening the relationship between the two 
counties' trauma care systems and including 
community hospitals. 

• To evaluate San Francisco's need for emergency 
medical services delivered by helicopter. 

• To develop a Regional Trauma Center Quality 
Assurance Program for San Francisco and San Mateo 
counties. 

Comments: 1. Ms. Abbie Yant of the DPH states that the grant 

resolution is retroactive to accept these funds because the 
award notice was received on October 6, 1999. According 
to Ms. Yant, no funds have been expended. 

2. The resolution urges the Controller to designate one 
part-time position created under the grant as a "G" or 
grant-funded position, which would terminate when the 
grant expires. According to Ms. Yant, this grant-funded 
Trauma Specialist position would be responsible for 
reviewing and evaluating the current trauma system, 
developing a revised trauma systems plan, and working 
with trauma care experts in San Francisco and San Mateo 
counties. 

3. Ms. Yant states that a consultant will be retained to 
conduct a feasibility study to determine the optimal 
location for a helipad for emergency medical services 
delivered by helicopter in San Francisco. The DPH 
intends to award the consultant contract on the basis of a 
Request for Proposal process at an estimated cost of 
$5,000. 

4. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's A dmini strative Code that the agreement include an 
indemnification of the City by the California Department 
of Health Services for the infringement of patent rights; 
and (2) the requirement contained in Section 6.57(c) of the 
City's Administrative Code that the agreement include a 
paragraph reciting the false claim provisions contained in 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

34 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 

the Section 6.57(a) of the City's Administrative Code. 
According to Ms. Jean Fraser of the City Attorney's Office, 
these requirements apply when the City purchases goods 
or services, not when the City receives funds from a grant. 
Therefore, Ms. Fraser advises that the waivers in this 
case are standard and pose minimal risk to the City. 

5. According to the proposed resolution, as a condition of 
receiving the subject grant, the DPH has agreed to enter 
into an agreement with the State Emergency Medical 
Services Authority which would require the City to grant 
the State Emergency Medical Services Authority the 
royalty-free, nonexclusive, and irrevocable right to use the 
data developed under the grant agreement. 

6. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with the State Emergency Medical Services 
Authority if the grant recurs or is renewed. 

7. A Grant Application Information Form prepared by 
the DPH is attached. 

8. The DPH has prepared a Disability Access Checklist, a 
copy of which is on file with the Clerk of the Board of 
Supervisors. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject grant agreement, with the State 
Emergency Medical Services Authority if the grant recurs 
or is renewed, without obtaining subsequent approval by 
the Board of Supervisors. 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

35 



Memo to Public Health and Environment Committee 

November 18, 1999 Public Health and Environment Committee Meeting 




cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor- Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 
Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

36 



Attachment 
Page 1 of 2 

File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Public Health 

2. Contact Person: Abbie Yant Telephone: 554-9970 

3. Project Title: Trauma Systems Plan 

4. Grant Source Agency: State EMS Authority 

5. Type of Funds: Federal Federal-State (Pass-Through) X_ State Local Private 

6. Proposed (New /Continuation) Grant Project Summary: 

The Enhanced Regional Trauma System Project is designed to address a number of current 
issues facing an established trauma care center and system in the City and County of San 
Francisco. Project staff will work with trauma care experts in San Francisco and San Mateo 
counties to strengthen and possibly formalize the relationship between the two counties trauma 
care systems. A number of ad hoc and advisor)' committees will oversee the project and provide 
guidance. In addition, the community hospitals will have an opportunity to participate in trauma 
care review of the patients they occasionally receive. 



7. Amount of Grant Funding Applied for: $,50,000 

Awarded $49,826 

8. Maximum Funding Amount Available: $50,000 

9. Required Matching Funds? Yes: No: _X_ Cash or In-kind: 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: 



10. Number of new positions created and funded: PT per diem RN 

1 1 . If new positions are created, explain the disposition of employees once the grant ends? 

Part-time employment will be terminated. 



M:\GRNTDATA\~ME2707.DOC 
Revised 9/28/99 



37 



Attachment 
Page 2 of 2 

12. Are indirect costs eligible costs for this grant? Yes: _X_No: 

If yes, please identify the amount of $ in indirect costs: $3,665.97 

13. Amount to be spent on contractual services: $5,000 

14. a.) Will contractual services be put out to bid? Yes: No: _J<_NA: 

b.) If so, will contract services help to further the goals of the department's MBEAVBE 
requirements? : 

15. Is this likely to be a one-time or ongoing request for contracting out? One time 

1 6. Term of Grant: Start-Date: July 1 , 1999 End-Date: June 30, 2000 

17. Date Department Notified of Available Funds: Award letter received June 2. 1999. Signed 
contract received pending. 

1 8. Grant Application Due Date: February 26. 1999 



19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): Selected through competitive RFP process. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 



Signature 



M:\GRNTDATA\~ME2707.DOC 
Revised 9/28/99 



38 




City and County of£an Francisco 
JYleeting Minutes 
^Public Health and Environment Committee 

Members: Supervisors Sue Bierman, Amos Brown and Michael Yaki 
Clerk: Gregoire Hobson 



City Hall 

1 Dr. Carlton B. 

Goodlett Place 

San Francisco, CA 

94102^689 



Thursday, December 09, 1999 



1:00 PM 
Regular Meeting 



City Hall, Room 263 



Members Present: Sue Bierman, Amos Brown, Michael Yaki. 



DOCUMENTS DEPT 

JAN 2 h 23C1 

SAN FRANCISCO 
PUBLIC LIBRARY 



MEETING CONVENED 



The meeting convened at 1:09 p.m. 



CONSENT AGENDA 



All matters listed hereunder constitute a Consent Agenda, are considered to be routine and will be acted upon 
by a single roll call vote of the Committee. There will be no separate discussion of these items unless a 
member of the Committee so requests, in which event the matter shall be removed from the Consent Agenda 
and considered as a separate item. 

992037 [Authorizing an agreement with Delta Dental Plan of California to provide dental care to clients 
enrolled in the Delta Dental Healthy Families insurance program] 

Resolution authorizing the Department of Public Health, Community Health Network, to enter into a 
participating provider agreement with the Delta Dental Plan of California to provide dental treatment services 
to clients enrolled in the Delta Dental Healthy Families insurance program, which includes a binding 
arbitration clause and which does not include patent infringement indemnification and false claims clauses; 
providing for ratification of action previously taken. (Department of Public Health) 
' 1 1/2/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
RECOMMENDED.. 



992078 [Authorizing grant for the evaluation of screening males for Chlamydia Trachomatis infection] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, to accept 

retroactively and expend a grant in the amount of $257,053 from the Centers for Disease Control and 

Prevention for the evaluation of screening males for Chlamydia Trachomatis and to enter into an agreement 

which does not include patent infringement indemnification and false claims clauses; providing for ratification 

of action previously taken. (Department of Public Health) 

1 1/8/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

RECOMMENDED.. 



City and County of San Francisco 



Printed at 5:24 PM on 12/13/99 



Public Health and Environment Committee 



Meeting Minutes 



December 9, 1999 



992102 [Approving a subcontract with the University of California to designate the Project Director of the HIV 
Drug Access Study] 

Resolution authorizing the Department of Public Health, the collaborating institution responsible for the 
scientific conduct of the "HIV Drug Access Study" to enter into a subcontract in the amount of $14,149 with 
the University of California, the primary contractor, which does not include patent infringement 
indemnification and false claims clauses; retroactive to February 24, 1999. (Department of Public Health) 
1 1/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
RECOMMENDED.. 



992175 [Grant funds to be used for family strengthening project for Pilipino community, to deliver best 
practices in effective parenting and family programs in order to reduce/prevent substance abuse] 

Resolution authorizing the Department of Public Health, Population Health and Prevention, Community 
Mental Health Services, to accept retroactively and expend a grant in the amount of $96,123 from the 
Department of Health and Human Services, SAMHSA, for a family strengthening project and to enter into an 
agreement which does not include patent infringement indemnification and false claims clauses; providing for 
ratification, of action previously taken; waiving indirect costs. (Department of Public Health) 
1 1/23/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 
RECOMMENDED.. 



992189 [Continuing grant for Metropolitan Medical Response System, to develop plans directed at early 

recognition of mass immunization/prevent spread of disease, mass patient care, fatality management and 
environmental surety] 

Resolution authorizing the Department of Public Health, Community Health and Safety Services, Emergency 

Medical Services, to accept retroactively and expend a grant in the amount of $200,000 from the Department 

of Health and Human Services to continue the development of the Metropolitan Medical Response System and 

to enter into an agreement which does not include patent infringement indemnification and false claims 

clauses; providing for ratification of action previously taken; waiving indirect costs. (Department of Public 

Health) 

1 1/23/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

RECOMMENDED.. 

The foregoing items were acted upon by the following vote: 

Ayes: 3 - Bierman, Brown, Yaki 



SEVERED FROM CONSENT AGENDA 



992105 [Accepting a grant to be used for education materials for "Save Money and the Environment Too" 
waste prevention campaign] 

Resolution authorizing the City Administrator of the City and County of San Francisco to accept and expend 
$5,000.00 from the California Integrated Waste Management Board. (Administrative Services Department) 
11/10/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Speakers: None. Amended on lines 2 and 12, after "accept, " by adding "retroactively. " 
AMENDED. 



City and County of San Francisco 



Printed at 5:24 PM on 12/13/99 



Public Health and Environment Committee 



Meeting Minutes 



December 9, 1999 



Resolution authorizing the City Administrator of the City and County of San Francisco to accept, retroactively, 
and expend $5,000.00 from the California Integrated Waste Management Board. (Administrative Services 
Department) 

RECOMMENDED AS AMENDED., by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



REGULAR AGENDA 



992187 [Lead Abatement Program] 
Supervisor Bierman 

Hearing to consider the status of the Department of Recreation and Park lead abatement program. 

12/6/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. With request it be considered at the December 9, 
1999 meeting. 

Heard in Committee. Speakers: Jeffrey Bramlett, Safety Officer, Occupational Environment, Health and 
Safety Program, Recreation and Park Department; Neil Gendel, Healthy Children Organizing Project. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



992000 [Integrated Pest Management Program] 
Supervisor Katz 

Ordinance amending Administrative Code Sections 39.2, 39.5, 39.6, 39.7 and 39.8 which established the 
Integrated Pest Management program to exclude antimicrobial agents from coverage under the chapter; to 
revise posting, notification, record keeping and reporting requirements; and to clarify exemptions, including 
exemptions for reduced risk pesticides and to add exemptions. 

(Amends Sections 39.2, 39.5, 39.6, 39.7 and 39.8.) 

10/25/99, ASSIGNED UNDER 30 DAY RULE to Public Health and Environment Committee, expires on 1 1/24/1999. 

Heard in Committee. Speakers: Billy Blattner, Legislative Aide to Supervisor Katz; Debbie Raphael, 
Department of the Environment. 
RECOMMENDED by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



992062 [Recycling and reuse of computers, monitors, televisions and other electronic equipment] 
Supervisor Becerril 

Hearing to consider ways to increase the recycling and reuse of computers, monitors, televisions and other 
electronic equipment; to assess current City programs and successful programs in other cities and counties that 
divert electronic waste products; to assess the role of non-profits and the private sector in recycling; to increase 
public awareness of City recycling programs; and to address public outreach and education. 
11/1/99, RECEIVED AND ASSIGNED to Public Health and Environment Committee. 

Heard in Committee. Speakers: Supervisor Becerril; David Assmann, City of San Francisco Recycling 
Program; Kevin Drew, San Francisco Community Recyclers; Emily Miggins, Sunset Scavenger Program; 
Warren Puckett, HMR; Roland Willis, Community Computer Center; Terry Fitzpatrick, Goodwill Industries; 
Doug Jones, Executive Director, Community Computer Center. 
CONTINUED TO CALL OF THE CHAIR by the following vote: 
Ayes: 3 - Bierman, Brown, Yaki 



City and County of San Francisco 



Printed at 5:24 PM on 12/13/99 



Public Health and Environment Committee Meeting Minutes December 9, 1999 

ADJOURNMENT 

The meeting adjourned at 2:36 p.m. 



City and County of San Francisco 4 Printed at 5:24 PM on 12/13/99 



■th 



Public Library,Gov't Info. Ctr., 5 in Fir. 
Attn: Susan Horn 



0-90 



iM 



CITY AND COUNTY 




OF SAN FRANCISCO 



TO: 
FROM: 



^OARD OF SUPERVISORS 

BUDGET ANALYST 

1390 Market Street, Suite 1025, San Francisco, CA 94102 (415) 554-7642 

FAX (415) 252-0461 



December 7, 1999 
^Public Health and Environment Committee 
^Budget Analyst 



DOCUMENTS DEPT. 

DEC - 8 1999 | 

SAN FRANCISCO 
PUBLIC LIBRARY 



SUBJECT: jDecember 9, 1999 Public Health and Environment Committee Meeting 



Item 1-99-2037 

Department: 

Item: 



Department of Public Health 

Resolution authorizing the Department of Public Health 
(DPH), Community Health Network to enter into a 
Participating Provider Agreement with the Delta Dental 
Plan of California to provide dental treatment services to 
individuals enrolled in the Delta Dental Healthy Families 
Insurance Program, which includes a binding arbitration 
clause and which does not include patent infringement 
indemnification and false claims clauses; providing for 
ratification of action previously taken. 

Ms. Samantha Stephen of the DPH states that the Delta, 
Dental Plan of California operates the Delta Dental 
Healthy Families Insurance Program. Under the 
proposed agreement with the Delta Dental Plan of 
California, the DPH's Community Health Network would 
provide enrollees of the Delta Dental Healthy Families 
Insurance Program with dental treatment services. 
Enrollees of the Delta Dental Healthy Families Insurance 
Program are not required to be DPH clients, according to 
Ms. Stephen. 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

Description: The proposed resolution authorizes the Department of 

Public Health (DPH), Community Health Network to 
enter into a Participating Provider Agreement with the 
Delta Dental Plan of California, a non-profit organization, 
for DPH's Community Health Network to provide dental 
treatment services to enrollees of the Delta Dental 
Healthy Families Insurance Program. 

As noted above, the Delta Dental Plan of California 
operates the Delta Dental Healthy Families Insurance 
Program and under the proposed agreement with Delta 
Dental of California, the DPH's Community Health 
Network would provide enrollees of the Delta Dental 
Healthy Families Insurance Program with dental 
treatment services. The DPH's Community Health 
Network would in turn charge the Delta Dental Plan of 
California for the DPH's Community Health Network's 
costs to provide such dental treatment services to 
enrollees of the Delta Dental Healthy Families Insurance 
Program. 

Attachment I, provided by Ms. Stephen, contains a list of 
the dental treatment services and the fees charged by the 
DPH's Community Health Network to the Delta Dental 
Plan of California. According to Ms. Stephen, such fees 
recover all of DPH's Community Health Network costs. 

If this legislation is approved by the Board of Supervisors, 
the proposed agreement would continue indefinitely 
unless terminated by the DPH or the Delta Dental Plan of 
California. 

Ms. Anne Okubo of the DPH advised the Budget Analyst 
that the DPH's Community Health Network began 
offering such dental treatment services to enrollees of the 
Delta Dental Healthy Families Insurance Program since 
November of 1998. 

Attachment II is a memorandum, provided by Ms. Okubo, 
which explains why the DPH's Community Health 
Network has provided, but has not yet billed, the Delta 
Dental Plan of California for dental treatment services to 
enrollees of the Delta Dental Healthy Families Insurance 
since November of 1998. The Budget Analyst notes that 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

2 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

the DPH entered into this action without first obtaining 
approval from the Board of Supervisors of the subject 
proposed resolution authorizing the required 
Participating Provider Agreement between the DPH and 
the Delta Dental Plan of California. 

Ms. Stephen states that the DPH's Community Health 
Network's actual costs to provide such dental treatment 
services to enrollees of the Delta Dental Healthy Families 
Insurance Program since November of 1998 are not 
readily available. Attachment III is a memorandum from 
Ms. Stephen stating that the estimated costs to provide 
the dental treatment services for the 12 month-period 
from November of 1998 through November of 1999 total 
$100,000 (based on approximately 1,000 billings at 
approximately $100 per invoice). Ms. Stephen further 
states that when the DPH enters into the subject 
proposed Participating Provider Agreement with the 
Delta Dental Plan of California upon approval of this 
resolution by the Board of Supervisors, the DPH's 
Community Health Network will retroactively bill the 
Delta Dental Plan of California for its actual costs owed 
by the Delta Dental Plan of California to DPH. 

Comments: 1 Ms. Anne Okubo of the DPH anticipates that 

approximately $100,000 in back fees will be charged to 
and collected from the Delta Dental Plan of California for 
the provision of dental treatment services to the enrollees 
of the Delta Dental Healthy Families Insurance Program 
for the 12 month-period period from November of 1998 
through November of 1999. In addition, Ms. Okubo 
anticipates that approximately $58,300 will be collected 
from the Delta Dental Plan of California for the provision 
of such services during the seven-month period from 
December of 1999 through June of 2000. Ms. Okubo 
states that both the back fees of $100,000 and anticipated 
fees of $58,300 will be accounted for in the DPH's Other 
Patient Revenues account in FY 1999-2000. 

2. According to Ms. Kathy Murphy of the City Attorney's 
Office, as a condition of entering into the subject 
Participating Provider Agreement (the "Agreement") with 
the Delta Dental Plan of California, the City agreed to 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

3 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

submit all claims (i.e. disputes) arising out of the 
Agreement to binding arbitration. 

3. Ms. Murphy also advises that the Agreement would 
require the City to waive (1) the requirement contained in 
Sections 6.21 and 21.19 of the City's Administrative Code 
that the Agreement include an indemnification of the City 
by the Delta Dental Plan of California for the 
infringement of patent rights; and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the Agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57(a) of the 
City's Administrative Code. According to Ms. Murphy, 
these requirements apply when the City purchases goods 
or services, not when the City receives funds from a 
contract agreement. Therefore, the waivers in this case 
are standard and pose minimal risk to the City, according 
to Ms. Murphy. 

4. The proposed resolution contains a provision that 
authorizes the Director of Public Health to enter into 
other future agreements, similar to the subject 
agreement, with the Delta Dental Plan of California 
without obtaining subsequent approval by the Board of 
Supervisors. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since the Director of Public 
Health would be authorized to enter into other future 
agreements, similar to the subject agreement, with the 
Delta Dental Plan of California, without obtaining 
subsequent approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

4 



NGU-0S-1933 14:49 



DPH CHP&P 



415 5 



Section A 



Page 4-42 



Post-it" Fax Note 



7671 



To 



nj^uj^jMi^ 



Data 



Attachment I 
Pase 1 of 5 



FfOcn 




**** 2fX-*l4t P ; 



DENTl-CAL SCHEDULE 
OF MAXIMUM ALLOWANCES 



Effective April 10, 1998 

1 . Fees payable to providers by Derrfr-CaJ for covered services shall be LESSER of. 

a. the fee charged by the provider 

b. the charaes for dentoi services shad be reimbursed in accordance with the 
Department of Health Services maximum reimbursement rates as follows 

c. the maximum allowance set forth in the schedule below 

2. Procedures limited to children (under age 18) are indicated by an astenskD. 

3. Refer to your DenG-Cal Handbook for specific procedure instructions and program 
limitations. 



Procedure ttaoritaiBB 

Number Procedure Allowance r£] 

Visits • Diagnostic (000*199] 

01 D Examination, initial episode of treatment only .25.00 

01S Examination, periodic (annual) S.35 

020 Office visit during regular office hours for 
treatment and observation of injuries to the 

teeth and supporting structures 11-62 

C30 PrafessJonat visil after regular office hours. 

or to bedside 17.50 

025 Hospital Care , 35.02 

MO Spedaliste Consultation ,. 17.50 

I 045 PH and Fissure Oerrtal Sealanb for Permanent 

First Motars, te age twenty-orte pi) 15.00 

; 046 Pit and Fssure Dental Sealants tor Permanent 

Second Molars, to age twenty-one (2i) 15.00 

0*9" PraohySaxis, seneficanes through age 12 JO.OO 

050 Propftytaxiz, naneflctar'ies sg; 13 ye«rs ant! older A0.Q0 

o€1* Prophylaxis, including tnotcal application e-f fluoride— 

beneficaries age 5 and under .30.00 

052* Prophylaxis, including tocical application of fluoride— 

benefisanes age 6 through 17 40.00 

030 Emergency Treatment, palliative 45.00 

110 Intraoral periapical, single, first film 10.00 

111 Intraoral periapical, eecn additional film 

(maximum 1 films) 3.00 

112 Intraoral, complete serias consisting of 

at least 14 periapical films plus bitowings 45:00 

113 Intraoral occlusal, each film 7 JO 

114 Extra oral, single, head cr lateral jaw 20.19 

115 Exraoral, each additional, head or lateral jaw 4.07 

116 BUewings. two films 10X0 

H7 Bitewines, four films 1 g JO 

113 SirsMv^ng. anterior, one film 1.50 

119 Phetograon o." slide, firs: S.B5 



Procedure . ■ Maximum 

Kumbar Procedure Allowa nce (S) 

12A Photograph or side, each additional (maximum 5) 1.50 

125 Panographlo-typt film, single am 11,94 

150 Biopsy of oral tissue .29-ia 

1 50 Gross and microscopic histopsthotagical report 23-34 

Oral Surgery (200-229) 

200 Removal of erupted ttoth. unccmpBcafeC first tootn .... 45.00 

201 Removal of erupted tooth. imasrrpicaled. 

each additional tooth 33.00 

202 Removal of •ruptad tooth, surgical B5.0C 

203 Removal of root or root tip, 

cemplefaly covered by bone 40.53 

204 Removal of root or root Dp, 

not completely covered by bone 29.16 

220 Postoperative visit, ccmpficaliocs (e.g. osteitis) 7.C0 

230 Remowe! of impaesed tooth— tstt tissue 1 00.00 

231 Removal of Impacted tooth— pa nelly bony 115.00 

222 Ramoval of Impacted teolb— completely bony 165.00 

250 AJvBolopiasry per Quadrant, edentulous 40.86 

252 AlvftOtcplaaty per quadrant. 

In conjunction with extractions 23.34 

255 Vesttoutaplasty. submucosal resection 

(not to Indue* grafts) 312.76 

25S Arveolcplasfy with ridge extension. 

secsndsry epHheliaicatEm (per arch) 56.37 

257 Removal of palatal exostosis (torus) 5a .37 

252 Removal of mandibular exostosis dom:) per quadrant . . 4SJ54 
2SB excision of hyperplastic tissue (per arch) 46.70 

250 Incision and srainacs of abscess, intraoral 17.50 

251 Incision and drainage of aoscess, extraorel 23.18 

252 Excision pericsronal gingiva, operculectamy . . .17.50 

253 Sialolithotomy intraoral S8.27 

264 Sialolithotomy ext-aoral .233.47 

2S5 Closure of sauvary fisruU 67.56 



N0U-3S-19S9 14:49 



DPH CHPS.P 



413 534 2S61 P. 02 

Attachment I 
Page 2 of 5 



Rev 7/S8 



Section 4 



Page 4^3 



Proc*djur» Maximora 

Ninnbar Procedure Allowance- fS) 

266 Dilation of salh/ary duct 29.18 

257 Reduction of tuberosity, unilateral 2S.1S 

259 Excision of benign tumor, up to 1.25 em , 29. "53 

270 Exdslon of benign tumor, larger than 1.25 cm 5B.37 

271 Sxc'sion of malignant tumor 116.73 

273 Reimplantation and/or stabilization of 

accidentally evulsed or displaced 

permanent teatti ancVcf el^clus 140.08 

27S" Transplantation a( tooth or toolh bud 116.73 

Z76 Removal of foreign body from bon* 

(Independent procedure) 52^2 

277 Radical resection of bone for tumor witn bone graft 90437 

278 Maxillary sinusotomy fur removal of 

tooth fragment or foreign body 116.73 

279 Oral— antral faula ctasiire 99.23 

2B0 Excision of cyst up to 1.25 cm ■*&& 

231 Szcrsion of cyst. over 1 .25 cm 87.55 

282 Sequestrectomy 46.70 

255 Condylectomy of mandifila. unttaierei 703.71 

233 Menrsectomy of temporomandibular joint, unilateral . . . .703.71 

290 Exclston of foreign body, soft tissue 2334 

2S1 Frenectomy, or frenobrny. separate procedure ,40.86 

292 Suture of soft tissue wound or injury 2432 

294 injection of sclerosing agent into 

temporomandibular joint 35.02 

235 Injection of trigeminal rwsrve branches for destruction . . . .53.37 

256 Surgical exposure of impacted cr uncrupted 

tooth to aid eruption, soft tissues 23.34 

297 Surgical sxpesura of impacted of unenjpted 

tooth to aid eruption, partially bony 25.02 

2S3 Surgical exposure of impacted or urserupied 

tooth to aid eruption, completely bony 

gr ectopic emotion 3232 

299 UnXsteC surgical service or procedure 3y Report 

Drugs and Anesthesia (300-fiOO) 

3C0 Injectable drugs s - &3 

301 Conscious sedation relative analgesia 

(nitrous cride) per visit 1 *" 68 

400 General anesthesia 23.1s 

Periodontics (450-499} 

451 Emergency treatment (periodontal aoscess. 

acuto pcricdonCtis, etc) .55.00 

452 Subgingival cuntttag* and root planing 

per treatment 20C.M 

453 Occlusal adjustment {limfcad") per quadrant 

(minor) spot grinding) 23.34 

472 GinghrecTBmy or gingtvoplasty psr quadrant 81.70 

*73 Osseous and mucogingival surgery per suadrant 55.23 

474 Girvfl'rvectomy, or ginojvcplasry, treatment 

per tooth (fewer than sre teetn) 17.50 

Endodontics (5O0-539) 

501 Therapeutic pulpotomy 17.50 



Procedure tAaaiaam 

Number Procedure Allowance (S) 

502 vaal puipotomy 17.50 

503 Recaicrficatlon, Includes temporary restoration. 

certoow 16.34 

511 Anterior rose canal therapy 215,00 

512 Bicuspid root canal therapy 250.00 

513 Molar mot canal therapy 230.00 

530 Apiccectomy—surgicaJ procedure In conjunction 

with root canal filling 134.25 

531 Apicoectomy (separate surgical pracadure), 

per tooth 72.23 

534 ApexiflcatJon/spexogenesis (therapeutic 

apical desure), p&t treatment 1 3.55 

Restorative Dentistry (S00-S79) 

Aiaal5*Ri RastaraBons 

600* One surface, primary tooth 33.00 

501" Two surfaces, primary tooth 41.00 

602" Three sjriscas-, primary tooth 42.00 

603* Four or more surfaces, primary tooth (maximum) 55.00 

611 One surface, permanent loath 39.D0 

612 Two surfaces, permanent tooth aa.oo 

613 Three surfaces, permanent tooth 57.0O 

614 Four ar more surfaces, permanent loom (naaefmum) SQ.QO 

Silicate, Ccmpcoties PtoaOc Restorstjorrs 

540 Silicate cement restorabon 0.00 

641 silicate restorations, r*to or more In 

a singie tooth tmxdmum) 0.00 

645 Composite or plastic restoration 55.30 

646 Composte a: plastic restorations ^w or mo^g 

In 3 single tooth (maximum) 80.00 

648 Pin retention (per pin) maximum three pins 

pertoolh 31.00 

Crowns 

650 Crown, plastic (laboratory processed) 105.06 

651 Crown, plastic will metal ilt.25 

652 Oewn, porcelain 14C.CS 

653 Crown, porcelain fused to metal 330.00 

660 Crown. CMt full 340.00 

653 Crown, cast, three quarters 116.73 

670" Crown, stainless steel (primary) 75.00 

671 Crown, stainless steel (permanent} 90.00 

672 Cast metal dowel post 75.00 

Prosthetics CSBO-799) 
Pontics 

560 Faed brifige penic, east metal 105.Q6 

S81 Fixed endee pontic slotted facing 105.06 

682 Fixed bridee pontic, slotted pontic 11OJ0 

632 Fixed bridge contic, porcelair fused to rratsl 157.58 

593 Fixed bridee pontic, plastic processed to metal 122^7 

Rscsmetriatlap 

685 Recement intay, facing, pontic 3C.0O 



NQU-0a-i9°9 14:50 



DPH CHP&P 



415 554 2861 P. 03 

Attachment 



Page 3 of 5 



section 4 



p£ge4-44 



Rev. 7/sa 



Procedure Maximum 

Muwiber Procedure Allowance (S) 

686 RAcament crown 30.00 

687 Recement bridge 50.00 

R*pai«-a, Crown and Bridge 

SSO Repair fixed bridge -By Report 

554 Replace broken tru-ponuc 17-50 

ES5 Replace broken facing, pest Intact 14-01 

696 Replace orcKen facing, pes: bscxJng woken 23-3* 

Hcxnowatot* PrcsttiodenUcs 

700 Complete maxRiary denture 400.00 

701 Complete mandibular dentuxe 400JW 

702 Partial upper or lower denture with two 
assembled chrome cobalt wrought or cast 
chrome cobalt clasps with occlusal rests and 

necessary teeth, acryEe base 191.25 

703 Partial upper or lower demure with cast 
chrome cobalt skeleton, two cast crisps, 

and necessary teeth 400.00 

704 C&acs, third and e3cn additional, 

clasp for Procedure 703 25.00 

705 Stress breakers, extra 23.18 

706 Partial upper or lower stayplata. acrylic— 

base fee, teeth and dascs extra . 150.00 

708 Partial upper or lower denture, all acrylic 
with two assembled chrome cobalt wrought 
clasps having two clasp arms, but no rests, and 
necessary teeth • .175.11 

70S Clasp, third and each acditional 

for Procedure 703 14-01 

712 Clasp, third and each additional 

for Procedure 702 17.50 

716 C4asp or teeth, each for Procedure 70S 22.00 

720 QentuTB adjustment, per visit 11.68 

721 Rein«_office, cold cure 44.24 

722 Reins— laboratory processed 140.00 

720 Tissue conditioning, per denturo 35.02 

724 Denture duplication ( ^ump.' * reconstruction" ) 

denture base including necessary tooth 

replacement, per Centura 1S0.0C 

Repairs, Daotnrss, Acryflc 

750 Repair broken denture base only (complete or partial) . . . .45.00 

751 Repair broken denture and replace 

one broken denture tooth 65.00 

752 Each additional denture tooth replaced 

on 751 repair (maximum two) 15.00 

753 Replace one broken denture tocth 

only (complete or parfor) 50.00 

754 Each additional denture tocsrt replaced 

on 753 repair (maximum two) 15.00 

755 Adding first tooth ta partal denture to replace 

newly extracted natural tooth 4is6 

756 Each additional natural tsotn replaced on 

755 repair (maximum two) 1 5.17 



Procedure 
Number 



Procedure 



Maximum 
Allowance (ST) 



75*/ Add 3 nevr or replace a broken chrome ess an 
assembled wrought clasp with two clasp arrra 
and no rest to an exashg 702 partial denture 48 JB 

758 Each additional new or replacement clasp for 

repair 757 (maximum two) 4BJa 

759 Add a new or replace a broken crucme cobalt 
assembled wrought clasp with two aasp arms 

and no rest to an existing 708 partial denture 38.28 

750 Each additional new or replacement crasp far 

repair 759 (rrtaxtmurn two) 38J5 

751 Reattaching dasp on partial denture, clasp intact, 

each (maximum two) 29.1 8 

762 Add a new or replace a broken cast chrome 

cobalt dasp wrtn two c&so arms and rest to an 

existing 703 partial denture 52.52 

753 Each addiConal new or replacement dasp for 

repair 752 (maximum two) 52.52 



Space Maintainers (S00-833) 

800 Fosd. unilateral band type (Including band) 56-37 

801 Removable, plastic, with two stainless steel 

round wire clasps or rests 64.20 

802 Each additional clasp or rest (for 801 onty) 11 .62 

811 rbred, unilateral stainless steel crown type 

(including crown. Procedure 570 or 671) 81.70 

812 fixed, bilateral, Sngual or palatal bar type 145.93 

832 Fixed or removable appliance ta cantrcl 

harmful habit 70 .05 

Fractures and Dislocations (SOC-94S) 
(Includes ueua/ fb/fow-up care) 

BOO Maxilla, open reduction, simple .'. 469.14. 

901 Maxilla, closed reduction, simple .273.56 

902 Mandible, open reduction, simple 625.53 

903 Mendicte. dosed reducbem, simple 312.76 

&OA Maxtia. dosed reduction, compound ^71.40 

305 Maxilla, open reduction, compound 625.53 

908 Mandible, dosed reduction, compound 371.A0 

907 Mandible, open redudion. compound 625.53 

913 Reduction of dislocation of 

temporamarxfiiutar joint 62.55 

91 5 Treatment of malar iracture.simple-, 

dosed reduction 195.1S 

S16 Treatment of malar fracture, simple or 

compound depressed, open reduction .371.4G 



Unlisted Procedures 

S99- 



. to be determined by R*port 



NOU-QS-1999 14:50 



DPH CHP&P 



415 554 2361 P. 04 

Attachment I 
Page 4 of 5 



Rev. 7/98 



Section 4 



Page 4-45 



DENTI-CAL SCHEDULE 
OF MAXILLOFACIAL DENTAL SERVICES 

Effective August 1, 1939 

1. Fees payable to providers by DenfrCal for covered services shall be the LESSER of. 

a. the fee charged by the provider 

b. maximum allowances or 

c. the maximum allowance set fcrth in the schedule below 



Procedure Uajdmuzn 

Number Procedur e Allowance fg j 

Diagnostic Services 

950 CJincal examination end consultation, 

including 3tudy models 51.59 

9S2 Prosthetic evaluation and treatment plan, 

including study models 74.23 

555 Tmj series radiographs SiJM 

556 Caphalometric head film, single, 

first film, including tracing .22.*8 

957 Cephaiometric head film. each additional Sim, 

incvd'wg tracing ASS 

Maxillofacial Prosthetic Services 

360 Speech appl'ianea, -transitional, wfth or 

without pharyngeal extension 523.76 

952 Speech appliance. permanerrt, edentulous, 

with or without pharyngeaiextBrtsion 1115.78 

954 Speech appliance, permanent. partially 

edentulous, cast framework. with or 

witMout pharyngeal' extension 1190.11 

9€E Palatal Eft, interim 595.07 

953 Palatal Eft permanent, cast framework 1115.78 

970 Obturator, immediate surgical routine 669.52 

971 Obturator, immediate surgical camples 892.SS 

972 Obturalcr, permanent, complex 113Q.11 

273 Resection prosthesis, permanent, 

edentulous, complex 1190.11 

974 Resection prosthesis, per ma nent, 

edentulous, routine 1041/46 



Procedure KOcdmian 

Number Procedure AJiovuanoe (SO 

975 Resection prosthesis, permanent, 

partially edentulous, complex 1338.32 

976 RepcsMoner, manafeuiar, tmo piece 17*5-33 

577 Removable facial prosthesis . . By Report 

97fl Splints and stents By Report 

973 Radiation therapy fluoriae earner -53.00 

980 Repairs, maxitofacal prosthasls By Raport 

981 Rebase laboratory processed. 

maxillcfacial prosthesis By Report 

932 Balancing (opposing) maxillofacial prsehssls By Report 

Maxillofacial Surgical Procedures 

98S Maxillofacial surgical procedures By Report 

Temporomandibular Joint 
Dysfunction Management 

990 Occlusal irarysis, including report and/or models 89.81 

992 Occlusal adjustments, limited centric and excursive 

adjus5neflts,induding records anoVor models .44.96 

394 Ocdusal balancing, altering centric relation, 

including records and/or meaets 238.53 

995 Orthopedic stabilising appliance, 

disocdualon splint 21 0/49 

398 Postoperative visits, symptomatic care and counseling . . .36.52 
998 Unlisted trterapeutic service By Report 



NOU-08-1S99 14:51 



DPH CHP3.P 



415 554 2861 P. 05 

Attachment I 
Page 5 of 5 



Section A 



Rev. 7/SS 



Page 4-45 



DENTI-CAL SCHEDULE OF CLEFT PALATE 
ORTHODONTIC SERVICES 



Effective January 1, 1994 

1. Reimbursement for orthodontic dental services in the treatment cf handicapping 
malocdt'sjon and deft palate deformities shall be trie usual charge to the general public, 
not to exceed the maximum reimbursement rate listed. 

2. Maximum allowances: 



Procedure Maximum 

Wmcbr Procedure Allowance (S) 

Malocclusion Cases 

551 Initial Orthodontic Examination/Handicapping 

Lahio-Lingusl Deviation Index 9.35 

££2 Banding and materials 438.38 

554 Per treatment visit— 24 months mzximum. 

One visit maximum per calendar month .5B.S1 

£56 Quarterly— observation— 6 quarters maximum 38.39 

557 Diagnostic work-up and photographs 41 .37 

5SB Study models 26.00 

Cleft Palate Cases 

Primary DenKUon 

560 Diagnostic work-up. photographs and study models 
(complete mouth series radiographs, procedure csc2 
112. and csonalometric head films, procedure codes 
S56 and 957 including tracing, are seoarateiy payable 
at State let jch*dui«) 77 37 

562 Banding ana matenaa 1*6 .32 

564 Per treatment vis&-i visis maomum. One visit 

maximum per calenC*- month 23 J7 

VOxad DenHBon 

S7Q Banding and materials .244.18 

572 Per treatment visit— 1 A visits maximum. One visit 

maximum per calendar month 3S-99 

Permanent Dentition 

580 Banding and materials 3SC.2S 

£82 Pw treatment visit— 30 v'tsfa maximum. One visit 

maximum per calendar month sa.61 



Procedure Maximum 

NqpCT ProceCiHre Allowance (SI 

Facial Growth Management 

590 Diagnostic wcrx-up, photographs ord stidy models 
(complete mouth senes radiographs, procedure ccce 
112. and csphatametric head films, prccsdura codes 
S56 and 957 Including tracing, are separatEiy payable 
at State fee schedule) 77.97 

E32 Quarterly observation, maximum S quarters 13>tS 

554 Progress records prior to treatment 77.97 

536 Bonding and materials 488.38 

538 Par treatment visit— 24 visits maximum. One visit 

maximum p«r calendar month 56. B1 

Malocclusion, Cleft Palate and Facial Growth 
Management Cases - Retention 

555 Quarterly— observation— S quarters maximum 38.93 

539 Retainer, removapie, tcr each upper and lower 14C.34 



TOTAL P.0: 



City and County of San Francisco 




Department of Public Health 

Attachment II 



MEMORANDUM 

Date: November 22, 1999 

To: Harvey Rose 

Budget Analyst 

From: Anne Okubo 

Budget Manager 

Subject: Participating Provider Agreement with Delta Dental 



This memo is in response to your request for information explaining why the Department of 
Public Health, Community Health Network (CHN) has provided dental treatment services to 
enrollees of the Healthy Families program through Delta Dental. 

Beginning in July 1998, the State of California introduced a new health insurance proeram for 
children in families that are not eligible for Medi-Cal. This program, Healthy Families, provides 
both health and dental benefits. Delta Dental Plan of California is the healthcare service plan 
designated by the State to reimburse for eligible dental services under the Healthy Families 
program. In November 1998, the CHN began providing dental services to patients enrolled in the 
Healthy Families program with the understanding that reimbursement for these services would 
be retroactive upon approval of a provider agreement. The CHN is now requesting approval of 
the proposed agreement with Delta Dental to be a participating provider and to be reimbursed for 
eligible dental services. Reimbursement will be retroactive to November 1998. The CHN is 
currently a participating provider for health services under the Healthy Families program. 

The Community Health Network has provided dental services in four primary care health centers 
for a number of years. These services are provided to patients that have government-sponsored 
health insurance such as Medi-Cal, as well as uninsured and indigent patients. Creation of the 
Healthy Families program has extended health insurance to eligible children, most of whom were 
previously uninsured. Approval of the Delta Dental provider agreement will allow the CHN to 
received reimbursement for dental services that were previously unreimbursed. 



Finance 



10 
101 Grove Street 



San Francisco, CA 9410: 



N0U-1S-1SS9 15:52 DPH C-P&P A '^ 5d4 2S61 P. 02 

Attachment III 



MEMORANDUM 



DATE: November 18, 1SS9 

TO: Budget Analyst 

FROM: Samantha Stephen, Dental Director 

RE: Delta Dental Healthy Families Contract 



The approximation of annual revenues for the Department of Public Health 
providing dental services to low-income children under this Healthy Families 
Dental contract is determined to be 5100,000. This estimate was am'ved at by 
determining that approximately 1,000 invoices were generated from November 
1S98 until November 1999 at about S100 per invoice. This amount will be billed 
retroactively and this information is also used to estimate each future year's 
biliing. However, as this program grows and outreach efforts revenues may 
continue to increase. 



For further information please contact me at 554-2573. 



11 



TOTAL P. 02 



Memo to Public Health and Environment Committee 

December 9. 1999 Public Health and Environment Committee Meeting 



Item 2 - File 99-2078 

Department: 

Item: 



Grant Amount: 



Grant Period: 



Source of Funds: 



Matching Funds: 



Indirect Costs: 



Budget: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health. 
Population Health and Prevention, to accept retroactively 
and expend a grant in the amount of S257.053 from the 
Federal Centers for Disease Control and Prevention to 
support a study, evaluating the screening of males for 
chlamydia trachomatis. The subject resolution stares 
that this grant agreement does not include patent 
infringement iiidernnification and false claims clauses. 

$257,035 

September 30. 1999 through September 29, 2000 

Federal Centers for Disease Control and Prevention 
(CDC) 

None 

$20,944 

The summary budget for the proposed grant is as follows: 



Description: 



Salaries 


S104.719 




Eer_e:::i 


27.227 




Total Salaries and Benen: = 




131.946 


Supplies 




33.700 


Travel 




5.784 


Other 




64.679 


Subtotal 




236.109 


Indirect Costs 




20.944 


Total 




S257.053 



Attachment I, provided by DPH. contains further budget 
details. 

The Department of Pub he Health (DPH) was awarded a 
grant by the Centers for Disease Control and Prevention 
(CDC) to support a two-year study to evaluate men with 
chlamydia infection. DPH is currently conducting a 
demonstration project to determine if screening men for 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



:: 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

chlamydia infection is a cost-effective method to prevent 
chlamydia infection in their female partners. The subject 
grant funds would be used to (a) expand the 
demonstration screening project, and (b) conduct a follow- 
up study of the demonstration project to determine men's 
risk factors for chlamydia infection and behavioral 
changes to prevent infection. 

Approval of the proposed resolution would authorize DPH 
to retroactively accept and expend Federal grant funds 
from CDC in the amount of $257,053 to conduct the 
subject study. 

Comment: 1. According to Ms. Charlotte Kent of DPH, the subject 

grant is for one year of a two-year grant period. Ms. Kent 
states that second year funding is contingent upon 
satisfactory scientific progress during the first year. 

2. As explained in Attachment I, the proposed grant 
would fund 2.5 new positions. In addition, Attachment I 
shows that in-kind services would be performed by six 
existing City positions. Of the six existing positions, three 
positions (Principal Investigator, Co-Investigator, and 
Community Based Services Coordinator) are permanent 
City positions and the remaining three (Interviewer, 
Supervisor, and Epidemiologist) are funded by other 
grants. 

3. The resolution urges the Controller to designate the 
2.5 new positions created under the subject grant as "G" 
or grant-funded positions, in order that such positions are 
terminated when the grant expires. 

4. According to Ms. Kent, the grant resolution is 
retroactive to accept these funds because the award notice 
was received on October 5, 1999. Ms. Kent states that, 
because the term of the grant is from September 30, 1999, 
through September 29, 2000, DPH was unable to obtain 
Board of Supervisors approval to accept the funds until 
after the receipt of the award and the start of the grant 
term. Ms. Kent advises that no funds have been 
expended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

13 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

5. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by the CDC for the 
infringement of patent rights; and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57(a) of the 
City's Administrative Code. According to Ms. Jean Fraser 
of the City Attorney's Office, these requirements apply 
when the City purchases goods or services, not when the 
City receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

6. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with CDC if the grant recurs or is renewed. 

7. Attachment II is the Grant Application Information 
Form, provided by DPH. 

8. DPH has prepared a Disability Access Checklist, which 
is on file with the Clerk of the Board's Office. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject grant Agreement, with CDC if the 
grant recurs or is renewed, without obtaining subsequent 
approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

14 



Attachment I 
Page 1 of 3 



Asymptomatic Chlamydia Grant Budget Justification 

Yearl 



A. PERSONNEL $131,946 

Salaries $1 04,71 9 

1.0 Principal Investigator (Jeff Klausner, MD„ MPH) 5% effort 

This position will be responsible for ensuring that the goals and objectives 
of the Project are met. He will plan all study activities, provide the scientific 
leadership necessary to ensure the success of the project and have overall 
responsibility for data analysis and publication. 

1.0 Co-Investigator (Charlotte Kent, MPH) 15% effort 

This position will be responsible for overseeing and coordinating the day to 
day activities of the study. She will design the study questionnaire and all 
related forms, supervise the study worker and data entry clerk, act as the 
liaison between the STD Program and the DPH Lab, assist in program 
evaluation and data analysis and publication and present study findings at 
community meetings. 

1.0 Interviewer (Sharon Penn) 50% effort 

This position will be responsible for interviewing asymptomatic males 
diagnosed with chlamydia at study sites and investigating their sexual 
partners. She will also be responsible for working closely with the Study 
Coordinator to ensure that they are aware of these clients so that they can 
approach them about enrollment into the longitudinal research project. 

1.0 Supervisor (Christine Geoghegan)- 15% effort 

This position will be responsible for supervising the Study Interviewer, 
reviewing their interviews and investigations and working closely with 
the Co-Investigator and Study Coordinator to maximize study enrollment. 

1.0 Epidemiologist (Robert Kohn)— 5% effort 

Tnis position will be responsible for developing the data entry screens and 
generating the data sets for the screening and partner management project. 

1.0 Community Based Services Coordinator (Jacque McCright) 5% effort 

This position will establish liaisons with community based testing sites and 
identifying non clinical sites where chlamydia screening of high risk 
asymptomatic males can be done. 



9/23/99 -CT Grant Budget 

15 



Attachment I 
Page 2 of 3 



Study Coordinator (To Be Hired) $25,512 

(Step I @$949 biweekly x 26.1, plus 3% COLA x .50 = 525,512) 

This position will be responsible for coordinating the longitudinal research 
study, for recruiting and enrolling study participants, for contacting 
participants to remind them of their appointments, for performing follow up 
interviews of study participants and for collecting required study data. 

.50 Data Entry Clerk (Florence Yu) $19,500 

(Step VI @ $1,517 biweekly x 26.1, plus 3% COLA x .50 = $19,500) 

This position will be responsible for entering all study data into the 

computerized database and for performing quality assurance checks 

to ensure that the data entered into the database is accurate and complete. 

1.0 Microbiologist (To Be Hired) $59,707 

(Step V @ $2,221 biweekly x 26.1, plus 3% COLA = $59,707) 

Tnis position will be responsible for performing all of the laboratory 
testing and quality assurance of study specimens submitted to the 
Department of Public Health Microbiology Laboratory and for providing 
study staff with monthly reports of lab testing and lab results by study site. 

Fringe Benefits (26% of salaries) $27,227 

B. SUPPLIES $ 33,700 

Office Supplies $1,500 

Funds are requested to purchase pens, paper, pads, photocopier 
paper, etc. for study staff. 

Clinical/Lab Supplies S12.000 

Funds are requested to purchase 5,000 chlamydia urine tests at $6.00 
per test, swabs, urine containers, lab slips, transport racks, etc. 

Computer Supplies $20,000 

Funds are requested to purchase nine desk top computers which will 
be located in of the study sites to enable data entry of test results and 
related study data into the shared computerized data base, computer 
paper, ribbons, toner, etc. 

C. TRAVEL $5,784 

1. Request funds in support of four out of state trips by the Principal 
Investigator, Co-Investigator or the Study Coordinator to attend study 
meetings. These trips are projected to be of 3 days duration. San Francisco 
city government provides per diem at the rate of $35.00 per day plus hotel 
or actual expenses of trips. Tne actual expenses are estimated to be $125.00 



9/23/99 -CT Gram Budget 

16 



Attachment I 
Page 3 of 3 



per day, round trip air fare of $925, plus 550.00 per participant for incidentals. 
(3 x S 125 = $375 + $925 + $50 = $1,350 x 4 = $5,400. 

2. Request funds in support of mileage for the Study Interviewer and Study 
Coordinator. The City and County of San Francisco reimburses staff at a 
rate of $0.32 per mile. We estimate that study staff will accrue an estimated 
$100 miles per month for a total of $32 x 12 =S3S4. 

D. OTHER $64,679 

1. Stipends $17,440 

Funds are requested to support the cost of stipends for study 
participants. 

Case Participants: 

- $20 x 135 baseline visits = S2.700 

- $20 x 122 one month follow up visits = $2,440 

- $20 x 144 four month follow up visits = $2,300 
TOTAL $7,440 

Non Case Participants: 

- $20 x 270 baseline visits = $5,400 

- S20 x 230 4 month follow ud visits = S4.600 
TOTAL 510,000 

2. Rental Space $5,239 

Funds are requested for two offices x 150 sq. ft. = 300 sq. ft. 
x $ 1 .45 sq. ft./month = $437 month x 12 months = $5,239. 

3. Laboratory Testing - UCSF Chlamydia (CT) Laboratory $42,000 

Funds are requested to support the cost of specialized CT lab testing which 
can only be performed at the UCSF Chlamydia Laboratory including: 

150 CHSP60 CT antibody tests @ $100/test x 150 tests = $15,000 
270 OMPL CT genotyping tests @ $100/assay x 270 tests = $27,000 



E. SUBTOTAL DIRECT COSTS $236,109 

F. INDIRECT COSTS (20% of salaries) $ 20,944 

G. TOTAL $257,053 



9/23/99 -CT Grant Bud-et 

17 



Attachment II 
Page 1 of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 . Department. Division. & Branch: Public Health, PHP, Health & Safety, STD Services . . 

2. Contact Person : Charlotte Kent Telephone: 415-554-8473 

3. Project Title: Evaluation of Screening Males for Chlamydia Trachomatis 

4. Grant Source Agencv : Centers for Disease Control and Prevention 

5. Type of Funds (Circle) : (Federal) Federal-State (Pass-Through') State Local Private 

6. Proposed (New/Continuation) Grant Project Summary: This is a two year grant to study men 
with chlamydia. The primary objectives of the study are 1) to determine what approaches to 
male screening for chlamydia are the most acceptable and feasible, 2) to evaluate whether 
screening of men is an effective means of reducing disease in women and 3) to characterize 
factors relating to transmission of chlamydia infection. These objectives will be 
accomplished by a) screening asymptomatic men in ten different types of settings, including 
the STD Clinic, adult and youth detention facilities, community health centers, teen clinics 
and a student health clinic; b) providing partner counseling and management for men found 
to have chlamydia infection and c) by performing a longitudinal follow up study of infected 
and non-infected men. 

7. Amount of Grant Funding Applied For: 
Year 1: $257,053; Year 2: $257,053 

8. Maximum Funding Amount Available (at time of application): S257.053 

9. Reouired Matching Funds? (Circle): Yes (No) Cash In- Kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: 

10. Number of New Positions created and funded: 2.5 t ihs 

11. If new positions are created, explain the disposition of emploveefs) once the grant ends: All 
staff will be told that these positions are short term and for a period not be exceed the 
funding period of the grant. All efforts will be made to transition interested and qualified 
staff into similar existing, positions. 



18 



Attachment II 
Page 2 of 2 



12. Are indirect costs eligible costs for this grant? (Circle): (Yes) No 

If ves. please identify the amount of $s in indirect costs: 
Year 1: $20,944; Year 2: $20,944 

13. Amount to be Soent on Concractual Services: None 

14. a.) Will contractual services be put out to bid? (Circle! Not Applicable 

b.) If so, will contract services help to further the goals of the departments MBE/WBE 
requirements? Not Applicable 

15. Is this request for contracting out likelv to be: One Time or Ongoing? Not Applicable 

16. Term of Grant: Start-Date: 9/30/99 End-Date: 9/29/01 

17. Date You Were Notified That This Funding Was Available: 9/23/99 

18. Grant Application Due Date: 8/2/ 99 

19. Grant Funding Guidelines and Options (selected from REP, grant announcement or 
appropriations 

legislation): The San Francisco Department of Health, STD Services Program, responded to a 
Program Announcement from the Centers for Disease Control and was awarded funds to 
support a two year study to evaluate men with chlamydia infection. SFDPH was the sole 
agency apply for funds, and, as such, will receive a grant award from the CDC for Year one. 
Second year funding is contingent upon satisfactory scientific progress during the first year 
as demonstrated through a semi-annual progress report. Awards are restricted to a maximum 
of two years. Upon termination of the project, all materials and equipment purchased with 
award funds in excess of $5,000 become the property of the Centers for Disease Control, if 
they so desire. 

20. Department Head Approval: Mitchell Katz, MD., Director of Health 
(To be obtained by Grant Manager) 



Signature 



2/8/99 



19 



Memo to Public Health and Environment Committee 

December 9, Public Health and Environment Committee Meeting 



Item 3 - File 99-2102 

Department: 

Item: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
the collaborating institution responsible for the scientific 
conduct of the "HIV Drug Access Study", to enter into a 
subcontract in the amount of $14,149 with the University 
of California, the primary contractor, retroactive to 
February 24, 1999. The subject resolution does not 
include patent infringement indemnification and false 
claims clauses. 



Subcontract Amount: $14,149 

Subcontract Period: February 24, 1999 through February 23, 2000 

University of California at San Francisco (UCSF) 



Primary Contractor 
Indirect Costs: 
Description: 



Budget: 



$1,024 

UCSF has received a Federal Department of Health and 
Human Services grant to conduct a study, entitled "HIV 
Drug Access". The purpose of the study is to determine 
through case studies if individuals of color with HIV 
disease are more, less, or as likely to have access to 
publicly funded HIV/AIDS pharmaceuticals than 
Caucasians. 

Approval of the proposed resolution would authorize DPH 
to enter into a subcontract with UCSF, the primary 
contractor, in the amount of $14,149, to reimburse DPH 
for providing a Project Director to be responsible for the 
scientific conduct of the proposed project, on behalf of 
UCSF. 

The proposed budget, for the subcontract, to be financed 
by UCSF and reimbursed to DPH, is as follows: 



0.10 FTE 2232 Senior 

Physician Specialist 
Fringe Benefits 
Indirect Costs 

Total 

BOARD OF SUPERVISORS 
BUDGET ANALYST 



$11,513 
1,612 

1.024 
$14,149 



20 



Memo to Public Health and Environment Committee 

December 9, Public Health and Environment Committee Meeting 



Comment: 



1. According to Dr. Herminia Palacio of DPH, the 
subcontract with UCSF would reimburse 10 percent of 
her time to serve as Project Director of the HIV Drug 
xA.ccess Project. 

2. Dr. Palacio states that the resolution is retroactive 
because DPH entered into the subcontract on October 22, 
1999, immediately after receipt of the subcontract but 
prior to Board of Supervisors authorization. The start 
date for the subcontract was February 24, 1999. 

3. The proposed resolution would waive: (1) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by UCSFs for the 
infringement of patent rights; and (2) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57 (a) of the 
City's Administrative Code. According to Ms. Jean Fraser 
of the City Attorney's Office, these requirements apply 
when the City purchases goods or services, not when the 
City receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

4. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with UCSF if the subcontract recurs or is 
renewed. 



Recommendation: 



Approval of the proposed resolution is a policy matter for 
the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject agreement, with UCSF if the 
subcontract recurs or is renewed, without obtaining 
subsequent approval by the Board of Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 



21 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

Item 4- File 99-2105" 



Department: 



Item: 



Grant Amount: 
Grant Period: 
Source of Funds: 
Required Match: 
Indirect Costs: 



City Administrator 

Solid Waste Management Program (SWMP) 

Resolution authorizing the City Administrato 1 " to accept 
and expend a $5,000 grant from the California Integrated 
Waste Management Board. 

$5,000 

November 15, 1999 through January 31, 2000 

California Integrated Waste Management Board 

None 

According to Mr. David Assmann of the Solid Waste 
Management Program, the proposed resolution provides 
for a waiver of indirect costs because the granting agency 
does not allow such costs. 



Description: 



The City and County of San Francisco will participate 
with Bay Area cities and counties in a public education 
campaign, "Save Money and the Environment, Too", for 
three weeks in January of 2000. The campaign will 
emphasize waste reduction by educating the public about 
buying products in larger sizes and quantities and 
products with less packaging. "Save Money and the 
Environment, Too" is part of the City's effort to meet the 
State-mandated Year 2000 goal to cut solid waste by 50 
percent. 

Approval of the proposed resolution would authorize the 
SWMP to accept and expend a $5,000 grant from the 
California Integrated Waste Management Board to 
support the campaign. 



Budget: 



Comment: 



Media Campaign 



$5,000 



1. According to Mr. Assmann, the total "Save Money and 
the Environment Too" campaign amount, paid by 33 Bay 
Area cities and counties, is $197,600. San Francisco will 
contribute $40,000 toward the campaign, of which 



BOARD OF SUPERVISORS 

BUDGET ANALYST 

22 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

$35,000 was budgeted in the FY 1999-2000 SWMP budget 
and the additional $5,000 would come from the subject 
grant. Attachment I, provided by SWMP, shows the 
amount each participating city and county has 
contributed to the campaign. 

2. Mr. Assmann reports that the $5,000 grant would be 
used to purchase advertising on radio and television 
stations, develop promotional messages on shopping bags 
and milk cartons, place messages in BART stations, and 
provide printed materials for public distribution. 

3. Mr. Assmann states that the grant was awarded in 
May of 1999, and therefore, the resolution should be 
amended to provide for the retroactive acceptance of the 
grant. According to Mr. Assmann, no grant funds have 
been expended. 

4. Attachment II, provided by SWMP, is the Grant 
Application Information Form. 

5. The Disability Access Checklist is on file with the Clerk 
of the Board of Supervisors. 

Recommendations: 1. Amend the resolution to provide for retroactive 

acceptance of the grant. 

2. Approve the proposed resolution as amended. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

23 



Page I oT _T~ 

SOLID WASTE MANAGEMENT PROGRAM 

RECYCLING PROGRAM • HAZARDOUS WASTE MANAGEMENT PROGRAM 




WILLIE L. BROWN, JR. PAliL V ' HORCHER 

MAYOR DIRECTOR. 



ATTACHMENT I - SAVE MONEY AND THE ENVIRONMENT TOO CAMPAIGN 

County, City 2000 donation 

Alameda, County $ 40,000.00 

Alameda, Alameda S 750.00 

Alameda, Albany $ 500.00 

Alameda, Berkeley $ 2,500.00 

Alameda, Castro Valley S 500.00 

Alameda, Dublin S 500.00 

Alameda, f remont S 5,000.00 

Alameda, Hayward $ 2,500.00 

Alameda, Newark S 500.00 

Alameda, Oakland S 5,000.00 

Alameda, San Leandro S 750.00 

TOTALS/ALAMEDA S 58-500.00 

Contra Costa County S 8,000.00 

Contra Costa, CCCSWA S 2,000.00 

Contra Costa, WCCTWMA S 2,750.00 

Contra Costa, Concord • $ 500.00 

Contra Costa, Pittsburg S 500.00 

Contra Costa, San Ramon $ 500.00 

TOTALS/CONTRA COSTA S 14,250.00 

Napa, Napa S 500.00 

TOTALS/NAPA S 500.00 

San Francisco City/County S 35,000.00 

(From a grant by the C1WMB) $ 5,000.00 

TOTALS/SAN FRANCTSCO S 40,000.00 

San Mateo County " ~ $ 25,000.00 

SBTSA • S 7,250.00 

San Mateo, Millbrae $ 250.00 

San Mateo, Pacifica S 100.00 

TOTALS/SAN MATEO S 32,600.00 



1 145 Market Street, Sltte 401, San .-rancisco. Ca 94103 -w ww._frccycl_._r_. 
Phone: (415) 554-3400 Fax; (415) 554-3434 -E-mail: s_recydc@ci.sf.ca.us = 



24 



Nuu-^y-itr^y 17:35 



SOLID WASTE MGT PROGRAM 



415 534 3434 P. 02/02 

Attachment I 
Page 2 of 2 



Santa Clara County 
Santa Clara, Cupertino 
Santa Clara, Gilroy 
Santa Clara, Milpitas 
Santa Clara, San Jose 
Santa Clara, Sunnyvale 
Santa Clara Unincorporated 
TOTALS/SANTA CLARA 



25,000.00 

500.00 

750.00 

1,000.00 

10,000.00 

500.00 

2,500.00 

40,250.00 



Solano County 
Solano, Vacaville 
TOTALS/SOLANO 



S 6,000.00 
$ 500.00 
S 6300.00 



Sonoma County 
TOTALS/SONOMA 



S 5,000.00 
S 5,000.00 



TOTALS 



S 197,600.00 



25 



TOTfiL P. 02 



rtxuacnment 11 
Page JL of 2 



File Number: 



Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorization a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: San Francisco Solid Waste Management Program 

2. Contact Person: David Assmann Telephone: (415) 554-3409 

3. Project Title: Save Money and the Environment Too __^ 

4. Grant Source Agency: California Integrated Waste Management Board 

5. Type of Funds: Federal Federal-StatefPass-Through) X State Local Private 

6. Proposed (New / Continuation) Grant Project Summary: 

To support waste prevention media campaign. 

7. Amount of Grant Funding Applied for: S5.000 ^^ 



8. Maximum Funding Amount Available: 55,000 



9. Required Matching Funds? Yes: No: X / Cash or In-kind? 



If ves, list dollar amount and identify source of Matching Funds in Denartment Budget: 



10. Number of new position created and funded: 



1 1 . If new position are created, explain the disposition of employees once the grant ends? 



12. Are indirect costs eligible cost for this grant? Yes: No: X 

If yes, please identify the amount of S in indirect costs? 



26 



Attachment II 
Page 2 of 2 



13. Amount to be SDent on contractual services: S5,000 



14. a.) Will contractual services be put out to bid? Contractor was selected through RFP process. 

b.) If so will contract services help to further the goals of the department's MBE/WBE requirements? 
Yes 



15. Is this likely to be a one time or ongoing request for contracting out? N/A 



16. Term of Grant: Start-Date: November 15, 1999 End-Date: February 1,2000 

17. Date Department Notified of Available Funds: May 25, 1999 

18. Grant Application Due Date: N/A 



19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or appropriation 
legislation): 

Grant was awarded by the California Integrated Waste Management Board at the May 25, 1999 board meeting. 



20. Department Head Approval: Paul Horcher Director 



(Name) (Title) 




\_7 Si mature 



s:admin/grants/gra ntapp.doc 



27 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

Item 5 - File 99-2175 



Department: 
Item: 



Grant Amount: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Population Health and Prevention, Community Mental 
Health Services, to accept retroactively and expend a 
grant in the amount of $96,123 from the Federal 
Department of Health and Human Services, Substance 
Abuse and Mental Health Services Administration 
(SAMSHA), for a Family Strengthening Project, and to 
enter into an agreement which does not include patent 
infringement indemnification and false claims clauses; 
providing for ratification of action previously taken; 
waiving indirect costs. 

$96,123 



Grant Period: 



Source of Funds: 



September 30, 1999 through September 29, 2001 (two 
years) 

Federal Department of Health and Human Services 



Required Match: 



None 



In kind Services: 



$58,274 from existing DPH budgeted funds. 



Indirect Costs: 



Budget: 



According to Dr. Tina Yee of DPH, DPH requests that 
indirect costs be waived to permit the grant funds to be 
used for direct program costs. 

The summary budget for the proposed grant is as follows: 



Salary and Fringe Benefits 
Operating Costs 
Administrative Costs 
Total 



$44,946 

46.371 

4.806 

$96,123 



Attachment I, provided by DPH, contains further budget 
details. 



Description: 



The Federal Department of Health and Human Services 
(DHHS) awarded the Department of Public Health (DPH) 
a two-year grant to identify, develop, and implement an 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

28 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

effective, culturally-specific intervention model for 
Filipino families to reduce substance abuse and increase 
community capacity to assist such families. The proposed 
$96,123 grant would fund the first year of the two-year 
pilot program. In the first year, a community advisory 
committee would be established to work with the Filipino 
community to create a consensus for the type of 
intervention model to be used. Once the model was 
selected, fifteen families at risk for substance abuse would 
receive services, based on the proposed intervention 
model. Outcome measures would be developed to 
evaluate the intervention model for its effectiveness. 

Approval of the proposed resolution would authorize DPH 
to accept retroactively and expend the subject grant 
funds. 

Comment: 1. According to Dr. Yee, DPH would provide inkind 

services as follows: 

0.05 FTE Assistant Director of 

Clinical Services $ 3,808 
0.80 FTE Assistant Health 

Educator 43.201 

Subtotal 47,009 

Fringe Benefits 11.265 

Total $58,274 

2. Dr. Yee states that DPH would award a contract to the 
Filipino American Council, a nonprofit organization which 
coordinates various Filipino organizations in San 
Francisco, on a sole source basis, to implement the 
proposed project. According to Dr. Yee, DPH would work 
collaboratively with the Filipino American Council to 
develop, implement, and evaluate this project. 

3. According to Dr. Yee, the grant resolution is retroactive 
to accept these funds because the award notice was 
received in October of 1999. Dr. Yee states that no funds 
have been expended. 

4. The proposed resolution would waive: (a) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

29 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

indemnification of the City by the Federal DHHS for the 
infringement of patent rights; and (b) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57 (a) of the 
City's Administrative Code. According to Ms. Jean Fraser 
of the City Attorney's Office, these requirements apply 
when the City purchases goods or services, not when the 
City receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

5. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with CDC if the grant recurs or is renewed. 

6. Attachment II is the Grant Application Information 
Form, provided by DPH. 

7. DPH has prepared a Disability Access Checklist, which 
is on file with the Clerk of the Board's Office. 

Recommendation: Approval of the proposed resolution is a policy matter for 

the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject grant Agreement, with the Federal 
DHHS if the grant recurs or is renewed, without 
obtaining subsequent approval by the Board of 
Supervisors. 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

30 



Attachment I 



Worksheetl.TINA 



KINABUKASAN (Family Strengthening) i 


GRANT PERIOD: OCT. 1,1999 -SEPT. 30, 2000 


FUNDING: SAMHSA | 


! I I ! I 


I PERSONNEL |FTE [Title iRate/month |N. of month |Total 


IStafH 1 [Health Educate 1,750| 11| 19,250 


iStaff2 1 [Outreach Work' 1,250[ 11 1 13,750 


|Staff3 jClerical Suppor 480 11| 5,280 


l ' i ! 
I I I ! i 


iSalary 1| 38,280- 


[Fringe Oj \ 6,666 


[Total Salary & Frinqe ! 44,946 


i I I : I 


TOTAL PERSONNEL | I 44,946 


I I I i I 


II. [OPERATING EXPENSES 


I ■':-■ I 


[Telephone/Postage 1J88 


[Space Rental 5,980 


iFood ! ! 2,775 


[incentives [ 2,250 


[Transportation; j 1,350 


[Educational Materials ; i 1,750 


[Equipment i ! 4,450 


|Travel [ I i | 6,784 


[Consultant Research/Eval I 8,400 


[Consultant I [Cultural Consultant 5,040 


[Consultant Videographer ! 2,400 


Consultant Childcare/Cultural Artist 2,804 


[Consultant [Facilitator j 1,200 


I I ! i . I 


TOTAL OPERATING EXPENSES j 46,371 


I | ! i 


[TOTAL DIRECT COST \ 91,317 


I I ! ! I 


ill. [INDIRECTCOST (Administrative f.nstO l \ 4,806 


III' II 


TOTAL CONTRACT AMOUNT ! I 9 6,123 



31 



Attachment II 

Page 1 of 2 
File Number: 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1 • Department. Division. & Branch: Population Health and Prevention, Community Mental 
Health Services. 

2. Contact Person: Tina Tong Yee. Ph.D. Telephone: 255-3422 

3 . Project Title: "Kinabukasan" 

4. Grant Source Asencv: DHHS, Substance Abuse and Mental Health Services Admin. 

5. Tvpe of Funds (Circle): Federal Federal-State (Pass-Through) State Local Private 

6. Proposed (New/Continuation) Grant Project Summary "Kinabukason" is a family 
strengthening project whichjwill develop, pre-test and implement a culturally adapted 
program for Pilipino families through the involvement and participation of a broad 
spectrum of the Pilipino community in San Francisco. The name of the project refers to the 
hope for the future in Tagalog. The purpose of the project is to increase the capacity of local 
communities to deliver best practices in effective parenting and family programs in order to 
reduce or prevent substance abuse. 

7. Amount of Grant Funding Applied For: S96,123 

8. Maximum Funding Amount Available (at time of application): Not known. 

9. Required Matching Funds? (Circle): Yes No Cash In-kind 

If ves. list dollar amount and identify source of Matching Funds in Department Budget: 

N/A 

10. Number of new positions created and funded: None 

1 I. If new positions are created, explain the disposition of emplovee(s) once the grant ends: 
N/A 

12. Are indirect costs eligible costs for this grant? (Circle): Yes No 



9/23/99 

32 



Attachment II 
Page 2 of 2 

If ves. please identify' the amount of Ss in indirect costs: None. In order to increase the amount 
of available funds for the implementation of this project, it was agreed that both partners in this 
endeavor would contribute to the indirect costs. The Filipino American Council agreed to 
decrease their indirect cost rate for administering this Project to 5% (normally 12%) and the City 
will be requested to waive indirect costs. The increased dollars towards the direct costs of the 
Project resulted in a more competitive program design. 

1 3 . Amount to be spent on contractual services: None 

14. a.) Will contractual services be put out to bid? (Circle): Yes: No: N /A 

b.) If so. will contract services help to further the goals of the department's MBE/WBE 
requirements? : N/A 

15. Is this request for contracting out likelv to be : One Time or Ongoing;? (CircleOne) N /A 

16. Term of Grant: Start-Date: 10/1/99 End-Date: 9/30/00 

17. Date You Were Notified That This Funding Was Available: 

18. Grant Application Due Date: 

19. Grant Funding Guidelines and Options (selected from RFP. grant announcement or 
appropriations legislation ): Awards of S80,000 to $ 1 00,000 in total costs per yer were made 
available for training and technical assistance to build capacity for selecting, modifying and 
piloting effective family strengthening models to be more culturally appropriate. A second 
year of funding can be requested for implementation of the model tested. Funds may be : 
used for travel and staff time to attend a SAMHSA/CSAP new grantee conference, a 
national family strengthening conference and one 2-3 day training workshop in the model 
selected. Funds may also be used for consultants and consensus building meetings to select 
and modify the curriculum. 

Funds may also be used for recruitment and retention costs as well as for staff, materials, 
and facilities costs to graduate at least 30 families in the selected intervention, and for 
evaluation support for process and outcome data collection and analysis. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

(To be obtained by Grant Manager) 




Signature 



9/23 '9 9 

33 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 



Item 6 -File 99-2189 

Department: 

Item: 



Grant Amount: 
Grant Period: 
Source of Funds: 
Matching Funds: 
Indirect Costs: 



Budget: 



Description: 



Department of Public Health (DPH) 

Resolution authorizing the Department of Public Health, 
Community Health and Safety Services, Emergency 
Medical Services, to accept retroactively and expend a 
grant in the amount of $200,000 from the Federal 
Department of Health and Human Services to continue 
the development of the Metropolitan Medical Response 
System and to enter into an agreement which does not 
include patent infringement indemnification and false 
claims clauses; providing for ratification of action 
previously taken; and waiving indirect costs. 

$200,000 

April 1, 1999 through April 30, 2000 

Federal Department of Health and Human Services 

None 

The funding agency does not allow for indirect costs. 

The summary budget for the proposed grant is as follows: 

0.35 FTE 2230 Physician 

Specialist $33,000 

0.5 FTE 1063 IS 

Programmer 31.000 

Total Salary 
Fringe Benefits 
Equipment 
Supplies 
Printing 

Contractual Services 
Total 



$ 64,000 
16,000 
18,000 
70,000 
2,000 
30.000 

$200,000 



Attachment I, provided by DPH, contains further budget 
details. 

The Federal Department of Health and Human Services 
(DHHS) originally funded the Metropolitan Medical 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

34 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

Response System program in 1997. San Francisco was 
selected by DHHS to participate in the program to 
prepare major urban areas to respond to the threat of 
bioterrorism and biological warfare. The Emergency 
Communications, Police, and Fire Departments have 
worked with DPH to create a plan to respond in the event 
of a bioterrorist attack. 

The proposed $200,000 grant would be used to develop a 
plan for surveillance and immediate response to the 
threat of biological warfare. 

Comment: 1. According to Ms. Abbie Yant of DPH, DPH was notified 

of the grant award in May of 1999, and therefore, the 
subject resolution is retroactive. Ms. Yant advises that no 
funds have been expended and that such funds would be 
available to DPH through December 31, 2000. 

2. As shown in Attachment I, the subject grant would 
fund two new part-time positions. The proposed 
resolution urges the Controller to designate the two part- 
time positions created under the grant as "G" or grant- 
funded positions, which would terminate when the grant 
expires. 

3. Ms. Yant advises that $20,000 in grant funds would be 
used to modify an existing contract with American 
Medical Response, Inc., which was selected as a sole 
source contractor to provide an on-line monitoring system 
of the region's hospital emergency rooms. Additionally, 
$10,000 in grant funds would be used to modify an 
existing contract between the Emergency 
Communications Department and TRW, Inc. to provide 
programming for computer-generated dispatch services. 

4. The proposed resolution would waive: (a) the 
requirement contained in Sections 6.21 and 21.19 of the 
City's Administrative Code that the agreement include an 
indemnification of the City by the DHHS for the 
infringement of patent rights; and (b) the requirement 
contained in Section 6.57(c) of the City's Administrative 
Code that the agreement include a paragraph reciting the 
false claim provisions contained in Section 6.57 (a) of the 
City's Administrative Code. According to Ms. Jean Fraser 

BOARD OF SUPERVISORS 
BUDGET ANALYST 

35 



Memo to Public Health and Environment Committee 

December 9, 1999 Public Health and Environment Committee Meeting 

of the City Attorney's Office, these requirements apply 
when the City purchases goods or services, not when the 
City receives funds from a grant. Therefore, Ms. Fraser 
advises that the waivers in this case are standard and 
pose minimal risk to the City. 

5. The proposed resolution contains a provision that 
authorizes the Director of Health to enter into similar 
agreements with Federal DHHS if the grant recurs or is 
renewed. 

6. Attachment II is the Grant Application Information 
Form, provided by DPH. 

7. DPH has prepared a Disability Access Checklist, which 
is on file with the Clerk of the Board's Office. 



Recommendation: 



Approval of the proposed resolution is a policy matter for 
the Board of Supervisors since this resolution authorizes 
the Director of Health to enter into future agreements, 
similar to the subject grant Agreement, with the Federal 
DHHS if the grant recurs or is renewed, without 
obtaining subsequent approval by the Board of 
Supervisors. 




*7> 

'Harvey M. Rose 




cc: Supervisor Bierman 
Supervisor Brown 
Supervisor Yaki 
President Ammiano 
Supervisor Becerril 
Supervisor Katz 
Supervisor Kaufman 
Supervisor Leno 
Supervisor Newsom 
Supervisor Teng 
Supervisor Yee 
Clerk of the Board 
Controller 
Legislative Analyst 



Matthew Hymel 
Stephen Kawa 
Ted Lakey 



BOARD OF SUPERVISORS 
BUDGET ANALYST 

36 



12/83/1999 14:48 415-241-0519 



AB 75 ems agency Attachment I 



MMRS Modification 




Budget 1999-00 




Budget Categories 


Budget 


Personnel 


364,000 


Fringe Benefits 


$16,000 


Travel - In State 


so 


Travel Out of State 


$0 


Equipment 


$18,000 


Supplies 


$70,000 


Printing 


$2,000 


Contractual 


$30,000 


Other 


$0 


Total direct costs 


$200,000 


Indirect 


$0 


TOTALS 


$200,000 




Budget Detail 
Personnel 

0.35 FTE 2230 
0.5 FTE 1063 
Fringe Benefits 

@25% salaries 
Contractual 
AMR/HUSK Mod 
wo081DEC(ctmod) 
Materials and Supplies 
Protective equipment 
Protective clothing 
lab media, glassware 
AV equipment 
lap top computer 
immunization supplies 
airguns (15*$500/each 
refrigerators 
coolers 



Equipment 

Lab cabinet 
FA Scope 
Reproduction 

10000 forms 



33000 
31000 

16000 



37 



Attachment II 
File Number: i^age I of 2 

Grant Application Information Form 

A document required to accompany a proposed resolution 
Authorizing a Department to Accept & Expend Grant Funds 

To: The Board of Supervisors 
Attn. Clerk of the Board 

The following describes the grant referred to in the accompanying resolution: 

1. Department: Public Health 

2. Contact Person: Abbie Yant Telephone: 554-9970 

3. Project Title: Metropolitan Medical Response System 

4. Grant Source Agency: Department of Health and Human Services 

5. Type of Funds: X_ Federal Federal-State (Pass-Through) State Local Private 

6. Proposed (New/ Continuation ) Grant Project Summary: 

This grant modification is to assist our existing Metropolitan Medical Response System 
(MMRS) (formerly known as MMST systems) in initiating an appropriate health system 
response to a bioterrorist attack. This grant modification provides support for San 
Francisco to develop plans directed at the early recognition of a biological event, mass 
immunization/prophylaxis, mass care, mass fatality management, and environmental 
surety. San Francisco shall engage appropriate State officials in the planning process. 

7. Amount of Grant Funding Applied for: S200.000 

Awarded 5200,000 

8. Maximum Funding Amount Available: S200,000 

9. Required Matching Funds? Yes: _ No: _X_ Cash or In-kind: _____ 



If yes, list dollar amount and identify source of Matching Funds in Department Budget: Not 
Applicable 

10. Number of new positions created and funded: 2 PT 

1 1. If new positions are created, explain the disposition of employees once the grant ends? 
Part-time employment will be terminated. 



M:\GRNTDATA\metromedresapplfrm.doc 
Revised 10/19/99 



38 



Attachment I| 
PaieT~5f~2 



12. Are indirect costs eligible costs for this grant? Yes: No: _X_ 

If yes, please identify the amount of $s in indirect costs: Not applicable. 

13. Amount to be spent on contractual services: S 30.000 

14. a.) Will contractual services be put out to bid? Yes: No: : Not applicable. 

b.) If so, will contract services help to further the goals of the department's MBEAVBE 
requirements? : Not applicable. 

1 5. Is this likely to be a one-time or ongoing request for contracting out?: Not applicable 

16. Term of Grant: Start-Date: April 1, 1999 End-Date: April 30, 2000 . 

17. Date Department Notified of Available Funds: Award letter received Mav. 1999. Signed 
contract received September 1999. 

1 8. Grant Application Due Date: April. 1999 



19. Grant Funding Guidelines and Options (selected from RFP, grant announcement or 
appropriations legislation): Application was selected through competitive RFP process. 

Payment is made upon presentation of proper vouchers and receipt and acceptance by the 
Government of the services specified in the schedule. 

20. Department Head Approval: Mitchell Katz, M.D., Director of Health 

Signature 



M:\GRNTDATA\metromedresapplfrm.doc 
Revised 10/20/99 

39 



Sent By: HP LaserJet 3100; 



BOARD of SUPERVISORS 



4155547714; 



Dec-16-99 4:32PM; 



Page 1/2 




City Hall 

up\ 1 Dr. Carlton B. Goodlett Place, Room 244 

San Francisco 94102-4689 

Tel. No. 554-5184 

Fax No- 554-5163 

TDiJ/TTY No. 554-5227 



11^ 



NOTICE OF<^ANCELLED>IEETING 

PUBLIC HEALTH AND ENVIRONMENT COMMITTEE 

SAN FRANCISCO BOARD OF SUPERVISORS 



NOTICE IS HEREBY GIVEN That the regularly scheduled meeting of the 
Public Health and Environment Committee for Thursday, December 23, 1 999 ) at 
1:00 p.m., has been cancelled,. 




Cierk of the Board 



DOCUMENTS DEPT. 

DEC 1 6 1999 . 

SAN FRANCISCO 
PUBLIC LIBRARY 



Posted: December 16, 1999 



38 2 



* HOUCHEN . 
^ BINDERY LTD* 

+ UTICA/OMAHA NE * 

2004 *